CAJ | 학술논문

目的：探讨两种换药方法在拔甲术后创面换药中的应用效果。方法将86例拔甲术后的患者随机分为观察组43例和对照组43例，对照组采用传统的换药方法；观察组通过延长拔甲术后患者至48~60 h进行首次换药，并在首次换药时留下一层约2 cm×2 cm凡士林纱，且1周左右用0.02%PP液浸泡使其脱落等换药处理。观察两组在拔甲术后再次换药时是否疼痛、出血以及伤口换药次数、伤口愈合时间等并进行比较。结果观察组在再次换药时是否疼痛、出血以及伤口换药次数、伤口愈合时间等方面明显优于对照组（P<0.01），差异具有统计学意义。结论对拔甲术后患者实施有针对性的换药处理，可以减轻患者的疼痛，并促进创面愈合。
목적：탐토량충환약방법재발갑술후창면환약중적응용효과。방법장86례발갑술후적환자수궤분위관찰조43례화대조조43례，대조조채용전통적환약방법；관찰조통과연장발갑술후환자지48~60 h진행수차환약，병재수차환약시류하일층약2 cm×2 cm범사림사，차1주좌우용0.02%PP액침포사기탈락등환약처리。관찰량조재발갑술후재차환약시시부동통、출혈이급상구환약차수、상구유합시간등병진행비교。결과관찰조재재차환약시시부동통、출혈이급상구환약차수、상구유합시간등방면명현우우대조조（P<0.01），차이구유통계학의의。결론대발갑술후환자실시유침대성적환약처리，가이감경환자적동통，병촉진창면유합。
Objective To iscuss the effect on two kinds of treatment methods in the application of pulling a postoperative wound dress-ing. Methods 86 cases of postoperative patients were randomly divided into observation group 43 patients and control group 43 cases, with control group using traditional dressing methods, while observation group by extending a postoperative patient pull the bandage to 48~60 hours for the first time, and leave when dressing for the first time a layer 2 cm×2 cm vaseline gauze, and a week or so make it fall off in an 0.02% PP liquid such as dressing processing. Then they were observed and compared whether the two groups in a postoperative dressing again pull pain, bleeding and the number of wound dressing, wound healing time. Results When the dressing change again pain, bleeding, and number of the wound dressing, wound healing time in observation group were better than those in control group, with significant difference(P<0.01). Conclusion It can help ease the pain of patients, and promote wound healing, when using targeted treatment processing to pull out a postoperative patients.