百克瑞复合溶菌酶纱布在延迟骨筋膜室减张切口中的应用价值  

Application value of Compound lysozyme gauze on delayed decompression incision of osteofascial compartment syndrome

作　　者：赵建耀 赵合意 李克鹏[1] 

机构地区：[1]河北省保定市第二中心医院急诊科,河北保定072750

出　　处：《世界最新医学信息文摘》2013年第29期14-15,共2页World Latest Medicine Information Electronic Version

摘　　要：目的：探讨百克瑞复合溶菌酶纱布治疗延迟骨筋膜室减张切口的疗效。方法回顾性分析自2008年1月至2013年8月延迟切开骨筋膜室综合征病例70例，对照组30例采用常规凡士林纱布换药,百克瑞组40例采用百克瑞纱布换药，通过记录肌肉组织肿胀消退时间、切开减张至伤口闭合时间、术后感染率、植皮率、住院时间、创面肉芽颗粒新鲜度比较治疗效果。结果性别、年龄、切开延迟时间等基线资料百克瑞组与对照组比较无统计学意义（P〉0.05）；百克瑞组肌肉组织肿胀消退时间（t=6.86，P〈0.05）、切开至减张至再次缝合时间（t=4.94，P〈0.05）、住院时间（t=5.80， P〈0.05）均较对照组短；百克瑞组术后感染率（χ^2=4.67，P〈0.05）、植皮率（χ^2=4.67，P〈0.05）低于对照组；百克瑞组创面肉芽颗粒新鲜度优良率高于对照组（χ^2=4.67，P〈0.05）。结论百克瑞复合溶菌酶纱布在延迟骨筋膜室减张切口中具有一定应用价值。Objective to study the curative effect of compound lysozyme gauze on delayed decompression incision of osteofascial compartment syndrome. Methods 70 cases of delayed decompression incision of osteofascial compartment syndrome were retrospectively analyzed from January 2008 to August 2008. Control group consisted of 30 cases changed the dressing with conventional vaseline gauze, the bakeri group consisted of 40 cases changed the dressing with compound lysozyme gauze. Therapeutic effects was compared by recording the subsided time of swelling muscle tissue;the time from decompression incision to wound closure;postoperative infection rate;skin graft rate; length of hospital stay;wound granulation freshness. Results The baseline data difference such as Gender, age, the delay decompression time had no statistical significance （P〉0.05） between the bakeri group and control group . The subsided time of swelling muscle tissue（t= 6.86,P〈 6.86）, the time from decompression incision to wound closure （t= 4.94,P〈 0.05）, the length of hospital stay（t = 5.80, P〈 0.05） of bakeri group was shorter than control group; postoperative infection rate（χ^2= 4.67,P〈 0.05）, the rate of skin graft （χ^2 = 4.67,P 〈 0.05） was lower in bakeri group than the control group; wound granulation freshness in bakeri group was higher than the control group （χ^2 =4.67, P〈 0.05）. Conclusion the compound lysozyme gauze has certain application value on delayed decompression incision of osteofascial compartment syndrome.

关 键 词：复合溶菌酶纱布 延迟减压 骨筋膜室综合征 

分 类 号：R[医药卫生]