不同换药方式对甲周感染伤口换药效果的观察  

Effects of different dressing change methods on perionychia wound infection

作　　者：刘雪琴 孟凡慧[1] 景雪[1] 许艳梅[1] 王嘉茹[1] 

机构地区：[1]解放军总医院门诊外科,北京100853

出　　处：《中华医院感染学杂志》2012年第2期312-313,共2页Chinese Journal of Nosocomiology

摘　　要：目的探索护理甲周感染伤口痛苦小、且愈合快的换药方法。方法将患者分为两组:擦洗组:2007年5月-2008年9月30例伤口采用传统擦洗法;浸泡冲洗组:2008年10月-2010年5月30例伤口采用0.5%聚维酮碘浸泡+生理盐水冲洗法;观察两组病例伤口愈合时间,患者对疼痛的反应及晕厥发生率。结果浸泡冲洗组无一例患者发生晕厥,换药时疼痛分值(4.90±2.64)分,明显低于擦洗组的(8.97±0.10)分;伤口愈合时间(13.10±5.59)d,明显快于擦洗组的(19.00±3.32)d,差异有统计学意义(P<0.05)。结论应用0.5%聚维酮碘浸泡+生理盐水冲洗换药方法,可有效减轻患者疼痛,加速伤口愈合。OBJECTIVE To explore a dressing change method with less pain and quick healing for the nursing of perionychia wound infection.METHODS In the present study,60 patients were divided into two groups.Scrub group included 30 patients receiving conventional scrub for wound from May 2007 to Sep.2008;Soak and irrigation group included 30 patients receiving soak with 0.5% povidone-iodine and irrigation with 0.9% NaCl2 solution for wound from Oct.2008 to May 2010.Time for healing,patients＇ response to pain and incidence of syncope in the 2 groups were evaluated.RESULTS Compared with the scrub group,there was no incidence of syncope in the soak and irrigation group,and the score of pain during dressing change was（4.90±2.64）min,significantly lower than that of the scrub group（8.97±0.10）min;the average time for wound healing was（13.10±5.59）d,significantly shorter than that of the scrub group（19.00±3.32）day.The differences were statistically significant（P〈0.05）.CONCLUSION The method of soak with 0.5% povidone-iodine and irrigation with NaCl2 solution is more effective in pain relief and the promotion of wound healing.

关 键 词：甲周感染 伤口 擦洗法 浸泡冲洗法 换药效果 

分 类 号：R181.32[医药卫生—流行病学]