运用新型敷料治疗切口脂肪液化的疗效观察

Observation of curative effect of new type of dressing in treating the fat liquefaction of incision

目的:观察运用新型敷料治疗切口脂肪液化的疗效。方法:将我院收治的108例行腹部手术后发生切口脂肪液化的患者随机分为观察组54例和对照组54例。在切口脂肪液化常规处理的基础上,观察组患者行新型敷料(藻酸盐敷料)治疗,对照组患者行传统碘伏敷料治疗。结果:评价两组患者的临床治疗效果;同时,观察患者的切口愈合时间,评估换药疼痛程度,统计换药次数。观察组患者临床治疗的总有效率为90.74%,对照组为72.22%,2组比较,差异具有统计学意义(P<0.05)。观察组患者的平均切口愈合时间短于对照组(P<0.05),NRS-11平均评分低于对照组(P<0.05),换药次数少于对照组。结论:相较于传统敷料,在切口脂肪液化临床治疗中运用新型藻酸盐敷料的疗效显著,对促进患者切口的愈合,减轻换药疼痛程度及减少换药次数方面有着明显的优势。

Objective： To observe the curative effect of new type of dressing in the treatment of fat liquefaction of incision.Methods： 108 cases with fat liquefaction of incision after abdominal surgery were ramdonly divided into the observation group（ 54 cases） and the control group（ 54 cases）. On the basis of conventional treatment,the observation group of patients was treated with new type of dressing（ alginate dressings）,and the control group patients was treated by traditional iodine volts dressings. The clinical treatment effect were evaluated; incision healing time was observed,at the same time,pain degree was evaluated,and switching frequency was counted too. Results： The total effective rate of observation group was 90. 74%,control group was 72. 22%,and there is no statistically significant difference（ P〈0. 05）. Observation group has shorter average healing of incision than control group（ P〈0. 05）,NRS-11 mean score was lower than the control group（ P〈0. 05）,and the switching frequency was less than the control group. Conclusion： A compared to traditional dressing,used in the clinical treatment of fat liquefaction of incision to new type alginate dressings of curative effect is distinct,to promote the healing of patients with incision,the bandage relieve pain and reduce the switching frequency has obvious advantages.