CAJ | 학술논문

目的为减少颌面部创面瘢痕形成，探讨颌面部污染创面的感染预防方法。方法2011年1月～2012年12月在我院医学美容门诊就诊的80例颌面部污染创面患者，随机分成观察组45例，对照组35例，观察组使用四步法污染创面感染预防方法（污染创面周围皮肤清洁处理、污染创面处理、头孢拉定的使用和健康教育），对照组使用二步法污染创面感染预防方法（污染创面周围皮肤清洁处理、污染创面处理），观察2组感染预防效果。结果观察组45例，有效44例，有效率97.8%；对照组35例，有效25例，有效率71.4%；观察组感染预防有效率极显著高于对照组，差异有统计学意义（x2=19.44，P＜0.05）。结论四步法污染创面感染预防方法（污染创面周围皮肤清洁处理、污染创面处理、、服用头孢拉定和健康教育）简单经济，感染预防效果满意。
목적위감소합면부창면반흔형성，탐토합면부오염창면적감염예방방법。방법2011년1월～2012년12월재아원의학미용문진취진적80례합면부오염창면환자，수궤분성관찰조45례，대조조35례，관찰조사용사보법오염창면감염예방방법（오염창면주위피부청길처리、오염창면처리、두포랍정적사용화건강교육），대조조사용이보법오염창면감염예방방법（오염창면주위피부청길처리、오염창면처리），관찰2조감염예방효과。결과관찰조45례，유효44례，유효솔97.8%；대조조35례，유효25례，유효솔71.4%；관찰조감염예방유효솔겁현저고우대조조，차이유통계학의의（x2=19.44，P＜0.05）。결론사보법오염창면감염예방방법（오염창면주위피부청길처리、오염창면처리、、복용두포랍정화건강교육）간단경제，감염예방효과만의。
Objective To observe the preventive effect of four steps method on the skin infection after contaminate wound healing in maxillofacial region for prevention of healing scar. Methods 80 cases of wound healing in maxillofacial region were randomly divided into treatment group (45 cases, four steps method of prevention of on the skin infection, handling of skin around contaminate wound, treating of contaminate wound ,using of cephradine, health teaching) and control group(35 cases, handling of skin around contaminate wound, treating of contaminate wound),to observe the preventive effect of four steps method on the skin infection in two groups. Results The effective cases of treatment group were 44 cases, total effective rate of treatment group was 97.8%, the total effective rate of control group was 71.4%(25/35);the effective rate of treatment group was significantly high than control group(x2=19.44, P<0.05). Conclusion The four steps method on the skin infection after contaminate wound healing in maxillofacial region are simple and economic, excellent of preventive effect of infection.