抗菌性可吸收缝合线及亲水性纤维含银敷料在口周贯通伤处理中的应用  

Application of Antibacterial Absorbable Suture and Hydrophilic Fiber Containing Silver Dressing in the Treatment of Perioral Penetrating Wounds

作　　者：陈德广 周陈 王雪山 王进 马艳 CHEN Deguang;ZHOU Chen;WANG Xueshan;WANG Jin;MA Yan(Department of Burn and Plastic Surgery,Suqian Hospital Affiliated to Xuzhou Medical University,Suqian 223800,Jiangsu,China)

机构地区：[1]徐州医科大学附属宿迁医院烧伤整形科,江苏宿迁223800

出　　处：《中国美容医学》2024年第1期29-31,共3页Chinese Journal of Aesthetic Medicine

基　　金：宿迁市指导性科技计划项目(编号:Z2018199)。

摘　　要：目的:探讨抗菌性可吸收缝合线及亲水性纤维含银敷料在口周贯通伤处理中的应用效果。方法:选择2020年4月-2021年4月笔者科室收治的37例口周贯通伤患者,随机分为观察组(19例)和对照组(18例)。观察组使用6-0抗菌性可吸收缝合线分层精准对位缝合,术后给予亲水性纤维含银敷料贴敷创面;对照组使用普通可吸收缝合线分层精准对位缝合,术后未使用亲水性纤维含银敷料贴敷。比较两组创面愈合效果、瘢痕[温哥华瘢痕评定量表(Vancouver scar scale,VSS)]及并发症发生情况。结果:术后3个月,观察组创面愈合效果优良率高于对照组(P<0.05);观察组VSS评分低于对照组(P<0.05);观察组针眼红肿2例,对照组8例,加强换药后均好转;观察组创面水肿时间短于对照组(P<0.05)。结论:应用抗菌性可吸收缝合线及亲水性纤维含银敷料治疗口周贯通伤,可有效降低术后感染及炎症反应,创面愈合效果好,瘢痕轻,值得在临床推广应用。Objective To investigate the application effect of antibacterial absorbable suture and hydrophilic fiber containing silver dressing in the treatment of perioral penetrating wounds.Methods A total of 37 patients with perioral penetrating injuries admitted to our department from April 2020 to April 2021 were selected and randomly divided into observation group(19 cases)and control group(18 cases).In the observation group,6-0 antibacterial absorbable suture was used for layered precise para-position suture,and hydrophilic fiber containing silver dressing was applied to the wound after operation.In the control group,ordinary absorbable suture was used to layer-by-layer precise position suture,and hydrophilic fiber containing silver dressing plaster was not used after operation.The wound healing effect,scar[vancouver scar scale(VSS)]and complications were compared between the two groups.Results Three months after operation,the excellent rate of wound healing effect in the observation group was higher than that in the control group(P<0.05).The VSS score of the observation group was lower than that of the control group(P<0.05).There were 2 cases of redness and swelling of the needle site in the observation group and 8 cases in the control group,which were improved after strengthening dressing change.The wound edema time in the observation group was shorter than that in the control group(P<0.05).Conclusion The application of antibacterial absorbable suture and hydrophilic fiber containing silver dressing in the treatment of perioral penetrating wounds can effectively reduce postoperative infection and inflammatory reaction,with good wound healing effect and light scar,which is worthy of clinical application.

关 键 词：美容缝合 口周 贯通伤 感染 瘢痕 

分 类 号：R622[医药卫生—整形外科]