瘘管内冲洗和局部湿敷治疗感染期先天性耳前瘘管的临床疗效研究  

作　　者：刘贤松 胡洪平 

机构地区：[1]江西省都昌县人民医院耳鼻咽喉科,江西332600

出　　处：《当代医学》2015年第27期21-22,共2页Contemporary Medicine

摘　　要：目的探讨甲硝唑与庆大霉素混合液(甲庆溶液)行瘘管内冲洗和庆大霉素局部湿敷治疗感染期先天性耳前瘘管(congenital preauricular fistula,CPF)的临床疗效。方法选取感染期CPF患者84例,按照随机数表法将患者均分为观察组和对照组(n=42)。对照组采用常规治疗(全身抗感染的基础上行脓肿切开引流和局部换药),观察组在常规治疗的基础上加用甲庆溶液行瘘管内冲洗和庆大霉素局部湿敷,分析2组治疗方式在感染控制时间、脓腔缩小时间和创面痊愈时间上的差异。结果观察组的感染控制时间(2.5±0.6)d、脓腔缩小时间(5.2±0.9)d和创面痊愈时间(6.3±1.5)d均短于对照组的(4.3±0.8)d、(10.5±2.4)d和(12.5±3.5)d,差异均有统计学意义(P<0.05)。结论在常规治疗的基础上加用甲庆溶液行瘘管内冲洗和庆大霉素局部湿敷治疗感染期CPF,不但能有效控制瘘管和脓腔内炎症及清除瘘管内感染源,而且能加快脓腔缩小的速度,加速炎症的消退,促进切口的愈合及缩短病程,能为其后的瘘管切除手术提供良好的条件,效果显著,值得临床推荐和应用。Objective To discuss the clinical efifcacy of Metronidazole and gentamicin mixture （hereinafter referred to as JiaQing solution） washing and gentamycin local shi fu fistula and internal fistula （CPF） before treatment of congenital ear infection. Methods 84 patients with infectious period CPF were selected. Patients were divided into the observation group and the control group （n=42） by randomly indicator method. The control group was used the conventional treatment （systemic anti-infection uplink abscess incision drainage and local treatment）, the observation group was combined with JiaQing washing and gentamicin solution line ifstula in local shi fu on the basis of conventional treatment, to analyze the differences between two groups with treatment time in infection control、pus cavity narrow time and wound healing time. Results The observation group of infection control time （2.5±0.6）d, pus cavity to reduce the time （5.2±0.9）d and wound healing time （6.3±1.5）d were shorter than the control group of（4.3±0.8）d, （10.5±2.4）d and（12.5±3.5）d, the difference had statistical significance （P〈0.05）. Conclusion On the basis of conventional treatment combined with JiaQing washing and gentamicin solution line ifstula in local infection period CPF, shi fu treatment not only can effectively control the ifstula and pus cavity ifstula inlfammation and remove the source of infection, and can accelerate the pus cavity to reduce the speed, acceleration of inlfammation subsidise, promote the healing of incision and shorten the course of the disease, provide good conditions for subsequent ifstula surgery, the effect is signiifcant, it is worthy of clinical recommendations and applications.

关 键 词：感染期耳前瘘管 甲硝唑 庆大霉素 瘘管冲洗 湿敷 

分 类 号：R764[医药卫生—耳鼻咽喉科]