中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
11期
110-112
,共3页
冯亚蔚%何新%周丽华%刘月
馮亞蔚%何新%週麗華%劉月
풍아위%하신%주려화%류월
湿性敷料%干性敷料%热带地区%慢性伤口
濕性敷料%榦性敷料%熱帶地區%慢性傷口
습성부료%간성부료%열대지구%만성상구
Wet dressing%Dry dressing%Torrid areas%Chronic wound
目的：探讨研究不同敷料对热带地区慢性伤口患者的临床疗效。方法选取琼海市人民医院2013年1月~2014年9月患有慢性伤口的患者120例，分为观察组(60例)与对照组(60例)，观察组患者采用湿性敷料进行治疗，对照组患者采用干性敷料进行治疗。比较两组患者慢性伤口的治疗效果。结果在治疗第20天与第30天，观察组患者创口面积愈合率分别为(36.80±7.02)%、(61.70±16.87)%，明显高于对照组[(23.40±8.14)%、(42.90±15.09)%]，差异有统计学意义(P<0.05)。观察组患者在换药时0、Ⅰ、Ⅱ、Ⅲ级的疼痛率分别为63.3%、23.3%、8.3%及5.0%，明显优于对照组(25.0%、35.0%、23.3%、16.7%)，差异有统计学意义(P<0.05)。观察组患者的换药时间[(50.3±18.5)d]、换药费用[(305.4±70.2)元]及2次创伤积分[(1.10±0.21)分]均明显低于对照组[(65.4±23.1)d、(418.8±78.0)元、(1.27±0.29)分]，差异有统计学意义(P<0.05)。结论湿性敷料能够促进患者创口愈合，减轻创口疼痛，减缓创口渗血，同时减少创口2次创伤与感染的机会，值得在临床上推广使用。
目的：探討研究不同敷料對熱帶地區慢性傷口患者的臨床療效。方法選取瓊海市人民醫院2013年1月~2014年9月患有慢性傷口的患者120例，分為觀察組(60例)與對照組(60例)，觀察組患者採用濕性敷料進行治療，對照組患者採用榦性敷料進行治療。比較兩組患者慢性傷口的治療效果。結果在治療第20天與第30天，觀察組患者創口麵積愈閤率分彆為(36.80±7.02)%、(61.70±16.87)%，明顯高于對照組[(23.40±8.14)%、(42.90±15.09)%]，差異有統計學意義(P<0.05)。觀察組患者在換藥時0、Ⅰ、Ⅱ、Ⅲ級的疼痛率分彆為63.3%、23.3%、8.3%及5.0%，明顯優于對照組(25.0%、35.0%、23.3%、16.7%)，差異有統計學意義(P<0.05)。觀察組患者的換藥時間[(50.3±18.5)d]、換藥費用[(305.4±70.2)元]及2次創傷積分[(1.10±0.21)分]均明顯低于對照組[(65.4±23.1)d、(418.8±78.0)元、(1.27±0.29)分]，差異有統計學意義(P<0.05)。結論濕性敷料能夠促進患者創口愈閤，減輕創口疼痛，減緩創口滲血，同時減少創口2次創傷與感染的機會，值得在臨床上推廣使用。
목적：탐토연구불동부료대열대지구만성상구환자적림상료효。방법선취경해시인민의원2013년1월~2014년9월환유만성상구적환자120례，분위관찰조(60례)여대조조(60례)，관찰조환자채용습성부료진행치료，대조조환자채용간성부료진행치료。비교량조환자만성상구적치료효과。결과재치료제20천여제30천，관찰조환자창구면적유합솔분별위(36.80±7.02)%、(61.70±16.87)%，명현고우대조조[(23.40±8.14)%、(42.90±15.09)%]，차이유통계학의의(P<0.05)。관찰조환자재환약시0、Ⅰ、Ⅱ、Ⅲ급적동통솔분별위63.3%、23.3%、8.3%급5.0%，명현우우대조조(25.0%、35.0%、23.3%、16.7%)，차이유통계학의의(P<0.05)。관찰조환자적환약시간[(50.3±18.5)d]、환약비용[(305.4±70.2)원]급2차창상적분[(1.10±0.21)분]균명현저우대조조[(65.4±23.1)d、(418.8±78.0)원、(1.27±0.29)분]，차이유통계학의의(P<0.05)。결론습성부료능구촉진환자창구유합，감경창구동통，감완창구삼혈，동시감소창구2차창상여감염적궤회，치득재림상상추엄사용。
Objective To investigate clinical efficacy of different surgical dressing in treatment of chronic wounds in the tropics. Methods From January 2013 to September 2014, in People's Hospital of Qionghai City, 120 patients with chronic wounds were selected and divided into observed group (60 cases) and control group (60 cases). Patients in ob-served group were given the treatment of wet dressing, while patients in control group were given the treatment of dry dressing. The therapeutic effect of the two groups was compared. Results At the 20th day and 30th day of treatment, the area of wound healing rates in observed group were (36.80±7.02) % and (61.70±16.87)%, which were significantly higher than those of the control group [(23.40±8.14)%, (42.90±15.09)%], the differences were statistically significant (P<0.05). The rates of 0,Ⅰ,II,Ⅲgrade of pain in observed group were 63.3%, 23.3%, 8.3%and 5.0%, which were bet-ter than those of the control group (25.0%, 35.0%, 23.3%, 16.7%), the differences were statistically significant (P<0.05). The dressing time [(50.3±18.5) d], dressing costs [(305.4±70.2) yuan] and 2 trauma integral [(1.10±0.21) scores] in ob-served group were significantly lower than those of control group [(65.4±23.1)d, (418.8±78.0) yuan, (1.27±0.29) scores], the differences were statistically significant (P< 0.05). Conclusion Wet dressing can promote wound healing, reduce wound pain, ease wound bleeding, and reduce the opportunity of infection and 2 trauma integral. It is worthy of promo-tion in clinic.
