超声清创联合新型功能敷料在外伤感染创面中应用研究

    Application value of the ultrasonic debridement combined with new functional dressing in trauma infecting wound

    • 摘要:
      目的探讨超声清创联合新型功能敷料在外伤感染创面中的应用效果。
      方法选择外伤致创面感染病人62例为研究对象, 按照随机数字表法分为观察组30例和对照组32例。对照组采用传统换药方法; 观察组采用超声清创处理创面, 并用新型功能敷料进行覆盖包扎。比较2组病人前3次换药时疼痛评分、创面愈合时间、换药总费用及随访3个月后瘢痕情况。
      结果观察组前3次换药时疼痛评分明显低于对照组(P < 0.01), 创面愈合时间明显短于对照组(P < 0.01), 2组换药总费用差异无统计学意义(P>0.05)。3个月后随访, 观察组瘢痕评分低于对照组(P < 0.05)。
      结论超声清创联合新型功能敷料治疗外伤感染创面能够减轻换药时病人疼痛感, 促进创面愈合, 减少瘢痕形成, 且未增加整体换药总费用, 优于传统换药方法。

       

      Abstract:
      ObjectiveTo explore the application effects of ultrasonic debridement combined with new functional dressing in the treatment of trauma infecting wounds.
      MethodsSixty-two patients with trauma infecting wounds were randomly divided into the observation group and control group according to random number table method (30 cases in observation group and 32 cases in control group).The control group was treated with the traditional treatment methods, and the observation group was treated with ultrasonic debridement combined with new functional dressing covering and dressing the wound.The pain scores at the first 3 dressing changes, wound healing time, total cost of dressing changes and scar condition after 3 months of follow-up were compared between two groups.
      ResultsThe pain scores at the first 3 dressing changes in the observation group were significantly lower than that in the control group(P < 0.01).The wound healing time in the observation group was significantly shorter than that in the control group(P < 0.01), and there was no statistical significance in the total dressing change cost between two groups (P>0.05).After 3 months of follow-up, the scar score in the observation group was lower than that in the control group(P < 0.05).
      ConclusionsUltrasonic debridement combined with new functional dressing in the treatment of trauma infecting wounds can reduce the pain of patients during operation, promote wound healing, reduce scar formation, and does not increase the total cost of dressing change, which is superior to the traditional dressing change method.

       

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