CAJ | 학술논문

目的：探讨银离子抗菌敷料(爱康肤银)用于肛瘘术后创面愈合的效果。方法：将60例肛瘘手术后的患者按随机数字表随机分为试验组和对照组，每组30例，试验组应用银离子抗菌敷料(爱康肤银)填塞创面换药，对照组应用黄芩油膏纱条填塞创面换药，观察两组患者创面出血、创面渗液、术后疼痛，从而比较两组创面愈合时间及疗效情况。结果：两组患者在术后创面出血及总疗效比较差异无统计学意义(P>0.05)；但在创面渗液、术后疼痛、愈合时间等方面，试验组明显优于对照组，两组比较差异有统计学意义(P<0.05)。结论：银离子抗菌敷料用于肛瘘术后创面换药有显著的疗效，值得临床推广。
목적：탐토은리자항균부료(애강부은)용우항루술후창면유합적효과。방법：장60례항루수술후적환자안수궤수자표수궤분위시험조화대조조，매조30례，시험조응용은리자항균부료(애강부은)전새창면환약，대조조응용황금유고사조전새창면환약，관찰량조환자창면출혈、창면삼액、술후동통，종이비교량조창면유합시간급료효정황。결과：량조환자재술후창면출혈급총료효비교차이무통계학의의(P>0.05)；단재창면삼액、술후동통、유합시간등방면，시험조명현우우대조조，량조비교차이유통계학의의(P<0.05)。결론：은리자항균부료용우항루술후창면환약유현저적료효，치득림상추엄。
Objective:To explore the effect of Aquacel Ag dressing for the wound healing after anal fistula operation.Method:60 patients with anal fistula after operation were randomly divided into experimental group and control group,30 cases in each group,the experimental group was used the Aquacel Ag packing wound dressing,while the control group with skullcap ointment gauze,the wound bleeding,wound liquid,postoperative pain,and wound healing time and the curative effect were compared between the two groups.Result:The two groups had no significant difference in postoperative wound bleeding and the total curative effect(P>0.05);but in the wound exudate,postoperative pain,wound healing time and so on,the experimental group were better than the control group, there were significant differences between two groups(P<0.05).Conclusion:The silver ion antimicrobial dressing has obvious curative effect after operation of anal fistulait is worth the clinical promotion.