运用新型敷料治疗切口脂肪液化的疗效观察
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摘要
目的:观察运用新型敷料治疗切口脂肪液化的疗效。方法:将我院收治的108例行腹部手术后发生切口脂肪液化的患者随机分为观察组54例和对照组54例。在切口脂肪液化常规处理的基础上,观察组患者行新型敷料(藻酸盐敷料)治疗,对照组患者行传统碘伏敷料治疗。结果:评价两组患者的临床治疗效果;同时,观察患者的切口愈合时间,评估换药疼痛程度,统计换药次数。观察组患者临床治疗的总有效率为90.74%,对照组为72.22%,2组比较,差异具有统计学意义(P<0.05)。观察组患者的平均切口愈合时间短于对照组(P<0.05),NRS-11平均评分低于对照组(P<0.05),换药次数少于对照组。结论:相较于传统敷料,在切口脂肪液化临床治疗中运用新型藻酸盐敷料的疗效显著,对促进患者切口的愈合,减轻换药疼痛程度及减少换药次数方面有着明显的优势。
Objective: To observe the curative effect of new type of dressing in the treatment of fat liquefaction of incision.Methods: 108 cases with fat liquefaction of incision after abdominal surgery were ramdonly divided into the observation group( 54 cases) and the control group( 54 cases). On the basis of conventional treatment,the observation group of patients was treated with new type of dressing( alginate dressings),and the control group patients was treated by traditional iodine volts dressings. The clinical treatment effect were evaluated; incision healing time was observed,at the same time,pain degree was evaluated,and switching frequency was counted too. Results: The total effective rate of observation group was 90. 74%,control group was 72. 22%,and there is no statistically significant difference( P < 0. 05). Observation group has shorter average healing of incision than control group( P < 0. 05),NRS-11 mean score was lower than the control group( P < 0. 05),and the switching frequency was less than the control group. Conclusion: A compared to traditional dressing,used in the clinical treatment of fat liquefaction of incision to new type alginate dressings of curative effect is distinct,to promote the healing of patients with incision,the bandage relieve pain and reduce the switching frequency has obvious advantages.
Objective: To observe the curative effect of new type of dressing in the treatment of fat liquefaction of incision.Methods: 108 cases with fat liquefaction of incision after abdominal surgery were ramdonly divided into the observation group( 54 cases) and the control group( 54 cases). On the basis of conventional treatment,the observation group of patients was treated with new type of dressing( alginate dressings),and the control group patients was treated by traditional iodine volts dressings. The clinical treatment effect were evaluated; incision healing time was observed,at the same time,pain degree was evaluated,and switching frequency was counted too. Results: The total effective rate of observation group was 90. 74%,control group was 72. 22%,and there is no statistically significant difference( P < 0. 05). Observation group has shorter average healing of incision than control group( P < 0. 05),NRS-11 mean score was lower than the control group( P < 0. 05),and the switching frequency was less than the control group. Conclusion: A compared to traditional dressing,used in the clinical treatment of fat liquefaction of incision to new type alginate dressings of curative effect is distinct,to promote the healing of patients with incision,the bandage relieve pain and reduce the switching frequency has obvious advantages.
引文
[1]卞惠娟.腹部术后切口脂肪液化应用湿性敷料的效果分析[J].现代中西医结合杂志,2013,22(23):2064-2065.
[2]张明党,夏卫芳.藻酸盐敷料在腹部感染伤口中的应用体会[J].实用临床医药杂志,2011,15(14):120-121.
[3]杨静谊,黎笑媚.湿性愈合敷料治疗切口脂肪液化的临床研究[J].中国当代医药,2013,20(19):33-34.
[4]杨学文.湿性愈合方法治疗腹部切口脂肪液化的临床效果分析[J].白求恩医学杂志,2014,12(1):53-54.
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[6]苏宝珍.妇产科腹部切口脂肪液化临床治疗方法[J].河南医学研究,2015,24(2):96-97.
[7]石少凤.大黄芒硝粉外敷治疗妇产科腹部切口愈合不良30例[J].河南中医,2015,35(4):793-795.
[8]陆继梅.中药包外敷联合微波照射治疗腹部切口脂肪液化不愈57例[J].中国药业,2015,24(8):116-117.
[9]刘丽丽.中药联合微波对妇产科腹部手术切口脂肪液化的影响[J].中外医疗,2014,33(31):151-152.
[10]郭玉华.妇科手术患者腹部切口脂肪液化的临床分析[J].中国实用医药,2015,10(3):139-140.
[11]张建平.产科手术切口脂肪液化的诊治体会[J].基层医学论坛,2015,19(8):1143-1144.
[12]龚玉荣.妇产科腹部切口脂肪液化防治分析[J].中国现代药物应用,2015,9(8):48-49.
[13]熊柱凤,汤利萍,秦思.康惠尔水胶体敷料对输尿管皮肤造口术后腹部手术切口的作用[J].实用临床医学,2014,15(10):118,120.
[14]余腾斌.腹部手术切口脂肪液化的治疗分析[J].白求恩医学杂志,2014,12(5):464-465.
[15]杨卫华,李娜.妇产科腹部切口脂肪液化66例临床分析[J].当代医学,2014,20(31):76-77.
[2]张明党,夏卫芳.藻酸盐敷料在腹部感染伤口中的应用体会[J].实用临床医药杂志,2011,15(14):120-121.
[3]杨静谊,黎笑媚.湿性愈合敷料治疗切口脂肪液化的临床研究[J].中国当代医药,2013,20(19):33-34.
[4]杨学文.湿性愈合方法治疗腹部切口脂肪液化的临床效果分析[J].白求恩医学杂志,2014,12(1):53-54.
[5]夏子泳,潘修勇,郭居.腹部手术切口脂肪液化临床特点分析[J].白求恩军医学院学报,2012,10(1):2.
[6]苏宝珍.妇产科腹部切口脂肪液化临床治疗方法[J].河南医学研究,2015,24(2):96-97.
[7]石少凤.大黄芒硝粉外敷治疗妇产科腹部切口愈合不良30例[J].河南中医,2015,35(4):793-795.
[8]陆继梅.中药包外敷联合微波照射治疗腹部切口脂肪液化不愈57例[J].中国药业,2015,24(8):116-117.
[9]刘丽丽.中药联合微波对妇产科腹部手术切口脂肪液化的影响[J].中外医疗,2014,33(31):151-152.
[10]郭玉华.妇科手术患者腹部切口脂肪液化的临床分析[J].中国实用医药,2015,10(3):139-140.
[11]张建平.产科手术切口脂肪液化的诊治体会[J].基层医学论坛,2015,19(8):1143-1144.
[12]龚玉荣.妇产科腹部切口脂肪液化防治分析[J].中国现代药物应用,2015,9(8):48-49.
[13]熊柱凤,汤利萍,秦思.康惠尔水胶体敷料对输尿管皮肤造口术后腹部手术切口的作用[J].实用临床医学,2014,15(10):118,120.
[14]余腾斌.腹部手术切口脂肪液化的治疗分析[J].白求恩医学杂志,2014,12(5):464-465.
[15]杨卫华,李娜.妇产科腹部切口脂肪液化66例临床分析[J].当代医学,2014,20(31):76-77.