聚酰胺纱布敷料在急慢性创面的临床应用被引量：7

Clinical application of polyamide gauze dressing in acute and chronic wounds

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摘要目的研究聚酰胺纱布在不同急慢性创面愈合过程中的临床应用效果。方法选择成都医学院第一附属医院2016年1—11月烧伤整形科和急诊科收治的137例住院患者,依据随机数字表法将所有患者分为实验组(68例)及对照组(69例),2组年龄、性别及创面情况等一般资料差异无统计学意义(均P>0.05)。2组患者创面均经相同方法清创、消毒、标记照相。照相完毕后,实验组急慢性创面给予聚酰胺纱布贴敷创面,对照组急慢性创面给予凡士林纱布贴敷创面。分别记录患者伤口愈合时间、创面停止渗出时间、换药时疼痛评分并采集相片,并对不同情况下患者伤口愈合时间、创面停止渗出时间、换药时疼痛评分进行统计学分析,比较2组临床应用效果。结果聚酰胺纱布和凡士林油纱在不同急慢性创面中均能起到促进伤口愈合的作用,组间差异无统计学意义(P>0.05),但实验组伤口的愈合时间、创面渗出停止时间以及换药时疼痛评分均优于对照组,组间差异有统计学意义(P<0.05)。结论新型敷料聚酰胺纱布作为内层敷料在不同急慢性创面愈合过程中具有良好疗效且效果优于凡士林纱布,临床应用更具优势,值得推广应用。 Objective To study the clinical application effect of different polyamide gauze in the acute and chronic wound healing process. Methods A total of 137 cases of hospitalized patients of department of burn and plastic surgery and emergency,the first affiliated hospital of Chengdu Medical College,from January,2016 to November,2016 were selected and divided into experimental group（ n = 68） and control group（ n = 69） according to the random number table method. There was no significant difference between the two groups in age,sex,and wound surface. Two groups of patients were treated by the same method of debridement,disinfection and marking photography. After photography,the experimental group of acute and chronic wounds was given polyamide gauze on the wound,and the control group of acute and chronic wounds given Vaseline gauze on the wound. Note the time of wounds healing and seepage stopping,and the score of VAS. And take photos. The wound healing time,wound bleeding time and the pain score during dressing change were statistically analyzed,and the clinical effects of the two groups were compared. Results Polyamide gauze and Vaseline gauze both can play the role of promoting wound healing,without statistical significance（ P〉 0. 05）,but the experiment group is better than control group in healing time,seepage stop time and VAS score was statistically significant（ P〈 0. 05）. Conclusion Polyamide gauze as a new material has a better treatment effect than Vaseline gauze applying at various acute and chronic wound healing process,and the clinical application is more advantageous,which is worth popularizing.