临床外科杂志 ›› 2020, Vol. 28 ›› Issue (12): 1116-1118.doi: 10.3969/j.issn.1005-6483.2020.12.006

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银离子抗菌敷料在皮脂腺囊肿感染切开引流伤口中的临床应用

  

  1. 430060 武汉大学人民医院整形外科
  • 出版日期:2020-12-20 发布日期:2020-12-20
  • 通讯作者: 余墨声,Email:yms1961@163.com

Study on the clinical application of silver ion antibacterial dressing in the incision and drainage of abscess

  1. Department of Plastic Surgery,Renmin Hospital of Wuhan University,Wuhan 430060,China
  • Online:2020-12-20 Published:2020-12-20

摘要: 目的 比较银离子抗菌敷料治疗方案和聚维酮碘纱布治疗方案对皮脂腺囊肿感染切开引流伤口的临床疗效。
方法 2019年3月~2019年11月我院收治的皮脂腺囊肿感染切开引流伤口病人62例,根据随机数字表法将其分为观察组和对照组,每组各31例。观察组病人采用银离子抗菌敷料治疗方案,对照组则采用聚维酮碘纱布治疗方案;比较两组病人皮脂腺囊肿感染切开引流伤口感染控制时间,治疗前、首次治疗后的第3天和第2周的病人伤口愈合情况,两组病人换药次数和创口愈合时间,评估临床疗效。
结果 观察组伤口感染控制时间为(13.9±1.81)天,对照组为(23.4±2.32)天,两组比较差异有统计学意义(P<0.05);观察组首次治疗后第2周BWAT(Bates-Jensen Wound  assessment tool,BWAT)评分为(14.98±1.51)分,对照组为(19.78±2.46)分,两组比较差异有统计学意义(P<0.05);观察组换药次数和创口愈合时间明显少于对照组,差异有统计学意义(P<0.05)。
结论 与传统聚维酮碘纱布比较,银离子抗菌敷料能更快地控制伤口感染,改善伤口愈合,且换药次数少,明显缩短伤口愈合时间。

关键词: 皮脂腺囊肿感染, 银离子抗菌敷料 聚维酮碘纱布敷料, 切开引流

Abstract: Objective To compare the therapeutic effect of silver ion antibacterial dressing and povidone iodine gauze on the incision and drainage of the abscess.
Methods From March 2019 to November 2019,62 patients were included in this study,and divided randomly into the observation group and the control group with 31 cases in each group.The patients in the observation group were treated with silver ion antibacterial dressing,while the patients in the control group were treated with povidone iodine gauze.The patients in the two groups were recorded in detail.The infection control time of abscess incision was compared before treatment,the third day and the second week after the first treatment,the number of dressing changes and wound healing time of the two groups,and the clinical effect of the patients was evaluated.
Results .The time of wound control in the observation group was (13.9±1.81)d,shorter than that in the control group (23.4±2.32)d(P<0.05);the BWATBWAT(Bates-Jensen Wound  assessment tool,BWAT) score of the observation group in the second week after the first treatment was (14.98±1.51),lower than that in the control group (19.78±2.46)(P<0.05);the times of drug change and wound healing in the Observation group were significantly shorter than that in the control group(P<0.05).
Conclusion Compared with the traditional povidone iodine gauze,the silver ion antibacterial dressing can control the wound infection and improve the wound healing more quickly,and the dressing change times are less,the wound healing time is obviously shortened.

Key words: sebaceous cyst infection, silver ion antibacterial dressing, povidone iodine gauze dressing, incision and drainage of abscess

[1] 胡江林, 朱静芳, 袁海涛等. 肛门后正中切扩加肛窦切开引流术与内括约肌侧切术治疗慢性肛裂的疗效观察[J]. 临床外科杂志, 2019, 27(7): 597-599.
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