中国医药导刊
中國醫藥導刊
중국의약도간
Chinese Journal of Medical Guide
2015年
8期
768-770
,共3页
清创粘合%医用胶%缝合%面部创口
清創粘閤%醫用膠%縫閤%麵部創口
청창점합%의용효%봉합%면부창구
Debridemant and adhesive%Medical glue%Suture%Facial wound
目的：探讨头面部常见创口采用医用胶治疗与传统缝合效果的比较。方法：将头面部裂伤患者108例随机分成观察组（55例）与对照组（53例），两组均经常规创口消毒后，观察组采用医用胶处理创口，对照组采用传统缝合法处理创口。记录医师处理创口所需时间，医疗费用，愈合时间，随访并统计创口愈合评分与患者满意度。结果：与对照组相比，观察组明显减少了外科医师处理创口所需时间(P＜0.01)，并获得了更好的创口愈合评分与患者满意度(P＜0.01)，同时减轻患者负担，但差异无统计学意义(P＞0.05)。且两组在伤口愈合时间上无显著性差异（P=0.711）。结论：采用医用胶能减少患者痛苦，降低急诊科医师工作强度，达到更好的创口美容效果。
目的：探討頭麵部常見創口採用醫用膠治療與傳統縫閤效果的比較。方法：將頭麵部裂傷患者108例隨機分成觀察組（55例）與對照組（53例），兩組均經常規創口消毒後，觀察組採用醫用膠處理創口，對照組採用傳統縫閤法處理創口。記錄醫師處理創口所需時間，醫療費用，愈閤時間，隨訪併統計創口愈閤評分與患者滿意度。結果：與對照組相比，觀察組明顯減少瞭外科醫師處理創口所需時間(P＜0.01)，併穫得瞭更好的創口愈閤評分與患者滿意度(P＜0.01)，同時減輕患者負擔，但差異無統計學意義(P＞0.05)。且兩組在傷口愈閤時間上無顯著性差異（P=0.711）。結論：採用醫用膠能減少患者痛苦，降低急診科醫師工作彊度，達到更好的創口美容效果。
목적：탐토두면부상견창구채용의용효치료여전통봉합효과적비교。방법：장두면부렬상환자108례수궤분성관찰조（55례）여대조조（53례），량조균경상규창구소독후，관찰조채용의용효처리창구，대조조채용전통봉합법처리창구。기록의사처리창구소수시간，의료비용，유합시간，수방병통계창구유합평분여환자만의도。결과：여대조조상비，관찰조명현감소료외과의사처리창구소수시간(P＜0.01)，병획득료경호적창구유합평분여환자만의도(P＜0.01)，동시감경환자부담，단차이무통계학의의(P＞0.05)。차량조재상구유합시간상무현저성차이（P=0.711）。결론：채용의용효능감소환자통고，강저급진과의사공작강도，체도경호적창구미용효과。
Objective: To investigate the different results of facial wound treat with traditional suture and medical glue Methods: The 108 patients of skin laceration on head and face were randomly divided into observation group(n=55) and control group(n=53),all patients with routine disinfection.Patients in observation group with medical adhesive treatment,Patients subject to traditional suture in control group.Record the time required for surgeons dealing with wound,patient’s charges,healing time.Patients were followed up and count patient’s satisfaction,wound healing score etc.Results:Compared with the control group,observation group not only reduced the time required for surgeons dealing with wounds significantly(P<0.01),and obtained better cosmetic results and patient’s satisfaction(P<0.01),but also could reduce the burden of patients,however,no significant difference(P>0.05).There is no significant difference on wound healing time between the two groups(P=0.771). Conclusion: Wound treat with medical glue can reduce patient’s pain,reduce work intensity of emergency physician,and get better cosmetic results.
