藻酸盐敷料治疗顽固性窦道伤口的疗效观察  

The efficacy of alginate dressing for refractory sinus

作　　者：林玉珍[1] 黄静[1] 

机构地区：[1]江门市中心医院,529030

出　　处：《国际医药卫生导报》2012年第3期418-420,共3页International Medicine and Health Guidance News

摘　　要：目的探讨藻酸盐敷料治疗顽固性窦道伤口的疗效。方法将32例顽固性窦道伤口患者根据随机分为观察组和实验组，各16例，观察组使用传统碘仿敷料条填充治疗，实验组使用藻酸盐敷料填充条治疗，两组从愈合时间、疼痛和治疗费用方面比较治疗效果。结果实验组藻酸盐敷料较观察组碘仿敷料可明显提高治愈率，在伤口愈合时间28天之内实验组有12例，而观察组仅6例。实验组较观察组可有效地减轻换药时的疼痛程度，实验组0、1、2、3级疼痛者分别为2、14、0、0例，而观察组分别为1、2、13、0例。实验组患者平均医疗费用为356元，而观察组为468元。经统计学分析，差异均有统计学意义（P〈0．05）。结论藻酸盐敷料治疗顽固性窦道伤口不仅可缩短治愈时间，减轻患者疼痛，同时还能减少患者的费用，具有临床应用价值。Objective To investigate the efficacy of alginate dressing on refractory sinus. Methods 32 patients with refractory infected wounds were randomly divided into study group and control group, 16 for each group. The study group received treatment with alginate dressing while the control group received iodoform gauze. The efficacy was determined by comparing time of wound healing, changes in pain level, and medical costs between the two groups. Results The number of wound healing within 28 days was more in the study group than in the control group （ 12 vs. 6 ）. Pain relief was more obvious in the study grout~ the number of patients with grade 0, 1,2, or 3 pain was 2, 14, 0, and 0 in the study group and 1, 2, 13, and 0 in the control group. There was statistically significant difference in medical costs between the study group and the control group （ ￥356 vs. ￥468 ）. Conclusions Alginate dressing for refractory sinus can not only shorten the healing time and relieve pain in patients but also can reduce medical costs.

关 键 词：藻酸盐敷料 顽固性窦道伤口 

分 类 号：R274.9[医药卫生—中西医结合]