苯扎氯铵溶液与碘伏溶液冲洗治疗颌面部脓肿疗效比较  

Antibiotic Washing Therapy of Maxillofacial Abscess: Comparison of Benzalkonium Chloride versus Povidone Iodine

作　　者：王建国[1] 李可来[1] 李庆隆[1] 

机构地区：[1]唐山市协和医院口腔颌面外科,河北唐山063000

出　　处：《口腔颌面外科杂志》2013年第4期299-301,共3页Journal of Oral and Maxillofacial Surgery

摘　　要：目的:对比苯扎氯铵溶液及碘伏溶液在冲洗治疗颌面部脓肿中的效果。方法:颌面部脓肿患者59例,随机分为实验组29例,对照组30例。实验组行脓肿切开引流后每天用0.01%苯扎氯铵溶液冲洗;对照组行脓肿切开引流后每天用0.25%碘伏溶液冲洗。两组病例均在脓肿切开前取脓液送细菌培养,切开后每3d取脓液送细菌培养1次。并记录每例患者治愈脓肿的换药天数。结果:换药3d后实验组细菌培养阳性为7例,对照组细菌培养阳性为15例;换药6 d后实验组细菌培养阳性为0例,对照组细菌培养阳性为7例。实验组平均换药天数为3.34 d,对照组平均换药天数为5.87d。结论:用苯扎氯胺溶液冲洗治疗颌面部脓肿比用碘伏溶液冲洗更为有效,并可以减少脓肿切开后到治愈的换药天数。Objectives：To compare the treatment efficacy of benzalkonium chloride solution versus povidone iodine solution in maxillofacial abscess washing therapy.Methods： 59 cases of maxillofacial abscess patients were randomly divided into experiment group A（29 cases） and comparative group B（30 cases）.In group A,maxillofacial abscess was partly incised and drainged,then rinsed daily with 0.01% benzalkonium chloride solution.In group B,patients＇ abscess partly incised and drainged,then rinsed daily with 0.25% povidone iodine solution.In both groups,bacterial culture of the pus were undertaken before incision and drainage and every 3 days after washing therapy.Results： Three days after dressing,the positive rate of bacterial culture in experimental group A and comparative group B were 7 cases and 15 cases respectively.6 days after,positive culture cases were 0 in group A and 7 in group B.The average dressing time in experimental group A and comparative group B were 3.34 days and 5.87 days respectively.Conclusion： The treatment efficiency of abscess by benzalkonium chloride solution is much better than by povidone iodine solution.

关 键 词：苯扎氯胺 碘伏 颌面部脓肿 

分 类 号：R782.3[医药卫生—口腔医学]