耳前瘘管脓肿切开排脓后生理盐水和聚维酮碘冲洗换药76例疗效比较  

Comparison of therapeutic effect between iodophor and saline dressing on preauricular fistula abscess after incision and drainage

作　　者：王年根 宋伟海 石娟芳 王洁屹 董佑霖 

机构地区：[1]浙江省海盐县人民医院耳鼻喉科,海盐314300

出　　处：《中国眼耳鼻喉科杂志》2016年第5期345-346,共2页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的通过对比分析，选择一种适合耳前瘘管脓肿切开排脓患者最佳的换药方法，为临床治疗此类疾病提供参考依据。方法将2012年10月～2015年10月本科收治的76例耳前瘘管脓肿患者按手术先后顺序随机分为A、B2组。A组脓肿切开排脓后以生理盐水冲洗换药，B组脓肿切开排脓后以聚维酮碘冲洗换药。结果2组切口理想愈合时间差异有统计学意义（χ2=9．122，P=0．0025）。A组换药时间为5-19d，平均（9．84±3．95）d；B组换药时间为4～14d，平均（7．42±2．88）d，2组差异有统计学意义（P=0．003）。结论聚维酮碘冲洗用于耳前瘘管脓肿切开排脓术后能有效缩短换药时间。Objective To prefer an optimal dressing change approach for the patients suffering incising and draining preauricular fistula abscess. Methods Seventy-six patients with preauricular fistula abscess admitted from Oct. 2012 to Oct. 2015 and were randomly divided into group A and group B according to the operation sequence. Patients in group A were treated with incising and draining followed by flushing dressing with normal saline, while dressing with iodophor in group B. Results There was significant difference in the ideal time between the two groups （χ2 = 9. 122, P =0.002 5）. The dressing time of group A was 5 to 19 days with the average of （9.84 ± 3.95） days, which was significantly longer than that of group B ranging from 4 to 14 days with the average being （ 7.42 ± 2.88 ） days （ P = 0. 003）. Conclusions The dressing time can be significantly shortened by using iodophor after incising and draining in patients with preauricular fistula abscess.

关 键 词：耳前瘘管脓肿 换药 聚维酮碘 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]