实用临床医学
實用臨床醫學
실용림상의학
Practical Clinical Medicine
2015年
4期
69-72
,共4页
张翀旎%罗琼安%许放放%谢艳娇%邓娟
張翀旎%囉瓊安%許放放%謝豔嬌%鄧娟
장충니%라경안%허방방%사염교%산연
高渗盐水%湿敷%浸泡%甲沟炎
高滲鹽水%濕敷%浸泡%甲溝炎
고삼염수%습부%침포%갑구염
hypertonic saline%hydropathic compress%soaking%paronychia
目的：探讨高渗盐水湿敷、浸泡治疗甲沟炎的临床疗效。方法将546例甲沟炎患者按随机数字表法分为观察组（276例）和对照组（270例）。观察组采用“部分甲拔除→高渗盐水湿敷→浸泡”治疗。对照组采用“全甲拔除→换药”治疗。对2组的疗效、创口愈合时间、拔甲术中及术后24 h疼痛程度进行比较。所有患者均随访1年，观察其复发率。结果观察组创口愈合时间为（6．86±2．22）d，对照组创口愈合时间为（12．74±6．01）d，2组比较差异有统计学意义（P＜0．01）；观察组愈合率为99．63％、好转率为0．36％，对照组愈合率为98．52％、好转率为1．11％，2组愈合、好转率比较差异无统计学意义（P＞0．05）。2组均随访1年，观察组复发率为2．90％，对照组复发率为41．48％，观察组的复发率明显低于对照组（P＜0．005）。观察组术中及术后24 h疼痛程度较对照组明显减轻（P＜0．01）。结论部分甲拔除后高渗盐水湿敷、浸泡治疗甲沟炎，可减小局部损伤，加快伤口愈合，减轻患者疼痛，降低复发率。
目的：探討高滲鹽水濕敷、浸泡治療甲溝炎的臨床療效。方法將546例甲溝炎患者按隨機數字錶法分為觀察組（276例）和對照組（270例）。觀察組採用“部分甲拔除→高滲鹽水濕敷→浸泡”治療。對照組採用“全甲拔除→換藥”治療。對2組的療效、創口愈閤時間、拔甲術中及術後24 h疼痛程度進行比較。所有患者均隨訪1年，觀察其複髮率。結果觀察組創口愈閤時間為（6．86±2．22）d，對照組創口愈閤時間為（12．74±6．01）d，2組比較差異有統計學意義（P＜0．01）；觀察組愈閤率為99．63％、好轉率為0．36％，對照組愈閤率為98．52％、好轉率為1．11％，2組愈閤、好轉率比較差異無統計學意義（P＞0．05）。2組均隨訪1年，觀察組複髮率為2．90％，對照組複髮率為41．48％，觀察組的複髮率明顯低于對照組（P＜0．005）。觀察組術中及術後24 h疼痛程度較對照組明顯減輕（P＜0．01）。結論部分甲拔除後高滲鹽水濕敷、浸泡治療甲溝炎，可減小跼部損傷，加快傷口愈閤，減輕患者疼痛，降低複髮率。
목적：탐토고삼염수습부、침포치료갑구염적림상료효。방법장546례갑구염환자안수궤수자표법분위관찰조（276례）화대조조（270례）。관찰조채용“부분갑발제→고삼염수습부→침포”치료。대조조채용“전갑발제→환약”치료。대2조적료효、창구유합시간、발갑술중급술후24 h동통정도진행비교。소유환자균수방1년，관찰기복발솔。결과관찰조창구유합시간위（6．86±2．22）d，대조조창구유합시간위（12．74±6．01）d，2조비교차이유통계학의의（P＜0．01）；관찰조유합솔위99．63％、호전솔위0．36％，대조조유합솔위98．52％、호전솔위1．11％，2조유합、호전솔비교차이무통계학의의（P＞0．05）。2조균수방1년，관찰조복발솔위2．90％，대조조복발솔위41．48％，관찰조적복발솔명현저우대조조（P＜0．005）。관찰조술중급술후24 h동통정도교대조조명현감경（P＜0．01）。결론부분갑발제후고삼염수습부、침포치료갑구염，가감소국부손상，가쾌상구유합，감경환자동통，강저복발솔。
ABSTRACT:Objective To investigate the clinical effect of hypertonic saline compress and soa-king on paronychia.Methods A total of 546 patients with paronychia were randomly divided into two groups.The observation group(n=276)was treated with partial nail removal,hypertonic sa-line compress and soaking.However,the control group(n=270)was treated with whole nail re-moval and dressing change.The curative efficacy,wound healing time and pain during and 24 hours after nail removal were compared between the two groups.All patients were followed up for 1 year and the recurrence rate was observed in both groups.Results The wound healing time in observation group was significantly shorter than that in control group((6.86 ± 2.22)days vs (12.74±6.01)days,P<0.01).There were no significant differences in the healing rate and im-provement rate between the two groups(99.63% vs 98.52% and 0.36% vs 1.11%,respectively;P>0.05).The recurrence rate in observation group was significantly lower than that in control group(2.90% vs 41.48%,P<0.005).In addition,the degree of pain during and 24 hours after nail removal in observation group was significantly lower than that in control group(P<0.01). Conclusion Hypertonic saline compress and soaking following partial nail removal can reduce lo-cal damage,accelerate wound healing,relieve pain and decrease recurrence rate in patients with paronychia.
