[1]郭文涛,郭航勇.藻酸盐敷料在低位单纯性肛瘘术后创面的应用[J].医学信息,2019,32(19):92-93.[doi:10.3969/j.issn.1006-1959.2019.19.027]
　GUO Wen-tao,GUO Hang-yong.Application of Alginate Dressing in Postoperative Wounds of Low Simple anal Fistula[J].Journal of Medical Information,2019,32(19):92-93.[doi:10.3969/j.issn.1006-1959.2019.19.027]
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藻酸盐敷料在低位单纯性肛瘘术后创面的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年19期
页码:
92-93
栏目:
临床研究
出版日期:
2019-10-01

文章信息/Info

Title:
Application of Alginate Dressing in Postoperative Wounds of Low Simple anal Fistula
文章编号:
1006-1959（2019）19-0092-02
作者:
郭文涛; 郭航勇
（深圳市中医肛肠医院＜福田＞肛肠外二科，广东 深圳 518031）
Author(s):
GUO Wen-tao; GUO Hang-yong
(Anorectal Surgery Subject Two,Shenzhen Traditional Chinese Medicine Anorectal Hospital ，Shenzhen 518031,Guangdong,China)
关键词:
藻酸盐辅料; 低位单纯性肛瘘; 术后创面
Keywords:
Alginate adjuvant; Low simple anal fistula; Postoperative wound
分类号:
R657.16
DOI:
10.3969/j.issn.1006-1959.2019.19.027
文献标志码:
A
摘要:
目的 观察藻酸盐辅料应用于低位单纯肛瘘术后创面换药的临床效果。方法 选取2016年6月~2018年3月在我院诊断低位单纯性肛瘘，并行低位肛瘘手术的患者作为研究对象，随机数字表法分为观察组和对照组，每组121例。观察组术后换药应用藻酸盐敷料覆盖创面，对照组采用凡士林纱布覆盖创面。比较两组患者创面换药次数、创面清洁度和愈合时间。结果 观察组平均换药次数为（9.03±3.86）次，少于对照组的（13.47±3.92）次，差异有统计学意义（P＜0.05）；观察组创面Ⅰ级清洁率（76.03%）高于对照组（13.22%），Ⅱ、Ⅲ级清洁率低于对照组，差异有统计学意义（P＜0.05）；观察组平均愈合时间为（17.67±5.37）d，短于对照组的（25.32±3.49）d，差异有统计学意义（P＜0.05）。结论 藻酸盐敷料应用于低位单纯肛瘘术后创面换药，可显著减少换药次数、创面分泌物，愈合时间较传统敷料明显缩短，效果优良。
Abstract:
Objective To observe the clinical effect of alginate excipients in the treatment of wounds after low-grade anal fistula.Methods Patients who underwent low-grade anal fistula and were treated with low anal fistula in our hospital from June 2016 to March 2018 were enrolled in the study. The randomized digital table method was divided into observation group and control group, with 121 cases in each group. In the observation group, the alginate dressing was used to cover the wound after the dressing change, and the control group covered the wound with Vaseline gauze. The number of dressing changes, wound cleanliness and healing time were compared between the two groups.Results The average number of dressing changes in the observation group was (9.03±3.86) times, which was less than that in the control group (13.47±3.92),the difference was statistically significant (P<0.05). The wound cleansing rate of the observation group was high in grade I (76.03%). In the control group (13.22%), the cleaning rate of grade II and III was lower than that of the control group, the difference was statistically significant (P<0.05); the average healing time of the observation group was (17.67±5.37)d,the healing time was shorter than that of the control group (25.32±3.49) d,the difference was statistically significant (P<0.05). Conclusion Alginate dressing is applied to the wound dressing after low-grade simple anal fistula, which can significantly reduce the number of dressing changes and wound secretion. The healing time is obviously shortened compared with the traditional dressing, and the effect is excellent.

参考文献/References:

[1]石松松,张磊,张兵,等.藻酸衍生物在生物医药领域的研究进展[J].中国海洋药物,2019,38(1):67-73. [2]温珊珊.藻酸盐敷料治疗糖尿病足溃疡临床观察和护理[J].海峡药学,2017,29(6):191-192. [3]Winter GD.Formation of the scad and the rate of epithelization of superficial wounds in the skin of theyoungdomestic pig[J].J Wound Care,1995,193(8):366-367. [4]陈妹宜,梁少惠,邓金燕,等.藻酸盐敷料配合湿润烧伤膏用于手术切口感染换药的临床观察[J].齐齐哈尔医学院学报,2019,40(2):199-200. [5]孙超锋,李跃军,李望舟,等.中厚皮供区创面愈合临床研究[J].兰州大学学报(医学版),2016,42(1):42-47.

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更新日期/Last Update: 2019-10-01