CAJ | 학술논문

目的：探讨手术切口愈合不良的处理方法。方法将77例切口愈合不良患者随机分为实验组39例，对照组38例。实验组依据湿性愈合理论采用湿性疗法处理切口，对照组采用常规换药方法治疗创面，比较两组患者切口愈合时间、换药次数及换药疼痛程度。结果湿性疗法处理切口创面能减轻换药疼痛，减少换药次数，缩短愈合时间，两组比较差异均有统计学意义（P<0.05）。结论湿性疗法在愈合不良切口处理中能减轻敷料与伤口粘连，加速坏死组织溶解，缩短清创时间，促进肉芽组织生长及上皮化进程，利于伤口愈合。
목적：탐토수술절구유합불량적처리방법。방법장77례절구유합불량환자수궤분위실험조39례，대조조38례。실험조의거습성유합이론채용습성요법처리절구，대조조채용상규환약방법치료창면，비교량조환자절구유합시간、환약차수급환약동통정도。결과습성요법처리절구창면능감경환약동통，감소환약차수，축단유합시간，량조비교차이균유통계학의의（P<0.05）。결론습성요법재유합불량절구처리중능감경부료여상구점련，가속배사조직용해，축단청창시간，촉진육아조직생장급상피화진정，리우상구유합。
Objective To explore the method to deal with wound of poor healing.Methods 77 cases with wound of poor healing were randomly divided into experiment group (39 cases) and comparison group (38 cases). The patients in experiment group were treated with wet dressing. The patients in comparison group were treated with routine method. Days of wound healing, times of changing dressing for wound and the degree of pain were compared between two groups.Results Using wet dress to deal with wound can reduce patient’s pain, decrease changing dressing for wound, and decrease the days of wound healing. The difference between the two groups has statistics meaning(P<0.05).Conclusions Using the theory of wound healing in wet condition to deal with the wound of poor healing, the necrotic tissue in wound would be dissolved faster, and then the granulation tissue growth and the process of epithelization were promoted. It’s worth clinical promotion.