高渗盐水在甲沟炎部分甲拔除术后创面愈合中的疗效分析  

Effects of hypertonic saline in wound healing after partial nail extraction in patients with paronychia

作　　者：邓娟[1] 张翀旎[1] 谢艳娇[1] 许放放 宋玉洁[1] DENG Juan, ZHANG Chongni, XIE Yanjiao, XU Fangfang, SONG Yujie(The First Affiliated Hospital of Nanchang University, Nanchang 330000,Chin)

机构地区：[1]南昌大学第一附属医院,江西南昌330000

出　　处：《西北国防医学杂志》2018年第2期79-81,共3页Medical Journal of National Defending Forces in Northwest China

基　　金：江西省科技支撑立项项目(20112BBG70052)

摘　　要：目的:探讨高渗盐水在甲沟炎部分甲拔除后创面愈合中的疗效。方法:选择行部分甲拔除术的甲沟炎患者292例,按照创面处理方式分为4组:A组用凡士林纱布换药,B组用10%高渗盐水纱布换药,C组用2%高渗盐水浸泡,D组用5%高渗盐水浸泡,对比分析创面愈合时间、术后72h疼痛评分。结果:B、C、D组创面愈合时间,72h疼痛评分均少于A组;C、D组创面愈合时间,72h疼痛评分均少于B组,差异有统计学意义(P<0.05)。但C组与D组比较,差异无统计学意义(P>0.05)。结论:部分甲拔除后高渗盐水外敷、浸泡创面,可减轻局部疼痛,加快创面愈合,且浸泡效果优于外敷。Objective：To investigate the clinical efficacy of hypertonic saline in wound healing after partial nail extraction in patients with paronychia.Methods：A total of 292 paronychia patients after partial nail extraction were randomly divided into four groups.Group A was adopted vaseline gauze after partial nail extraction,group B was adopted 10% Nacl gauze,group C was adopted 2% hypertonic saline soaking,group D was adopted 5% hypertonic saline soaking.The wound healing time and pain score were analyzed.Results：The wound healing time and pain score in group B,C,D were shorter than those in group A,and those in group C,D were shorter than group B,the difference was statistically significant（P〈0.05）.There were no significant difference between group C and group D（P〉0.05）.Conclusion：The external application and soaking of hypertonic saline after the extraction of partial nail can reduce the local pain and accelerate the healing of the wound,and the effect of soaking is better than that of external application.

关 键 词：甲沟炎 高渗盐水 部分甲拔除 浸泡 

分 类 号：R632.7[医药卫生—外科学]