生物伤口护理膜用于包皮环切伤口:疼痛、愈合及并发症的比较

Wound care biomembrane for circumcision wound:Pain,healing and complications

背景:近年来不同化学成分和生物学特性的伤口护理膜和敷料已被广泛应用于临床,选择合适的材料既能保持术后伤口的湿润,又能止血止痛、预防感染及促进伤口愈合。目的:观察生物伤口护理膜用于包皮环切后促进切口愈合的疗效。方法:90例包皮环切患者随机分为2组,伤口护理膜组于包皮环切后立即用济安舒能喷洒缝合伤口,包扎前将纱布的包扎面喷湿喷透后采取常规纱布包扎,术后2d拆除纱布暴露,用济安舒能喷洒伤口,每天至少3次,患者尿后如尿湿应及时喷涂;对照组术后采用常规纱布包扎法处理伤口,每3d换药1次。结果与结论:与对照组比较,伤口护理膜组术后伤口疼痛评分明显降低(P<0.05),伤口愈合情况明显改善(P<0.05)。提示包皮环切后应用济安舒能生物伤口护理膜安全可靠,具有较好的止痛、抗感染、促进创面愈合、减少渗出、水肿及瘢痕发生的治疗效果,临床操作简单,值得临床推广应用。

BACKGROUND： In recent years, different chemical compositions and biological properties of wound care membrane and dressing film have been widely used in clinical practice, a suitable material that not only maintains the wound moistening, but also stops bleeding and pain, prevents infection and promotes wound healing. OBJECTIVE： To observe the efficacy of biological membrane for wound care to promote wound healing after circumcision. METHODS： A total of 90 cases underwent circumcision were randomly divided into 2 groups, in wound care membrane group, the circumcision wound care was aspersed with Ji’an Shuneng spraying and sutured immediately after circumcision, the gauze bandage surface was thoroughly sprayed wet before conventional wound dressing, 2 days postoperation, the gauze was removed. The wounds were exposed and aspersed with Ji’an Shuneng spraying, at lest three times per day, spray coating should promptly supplement after urinating; control group was treated with conventional gauze wound dressing, the dressing was changed every 3 days. RESULTS AND CONCLUSION： Compared with control group, postoperative wound pain score decreased significantly in wound care membrane group （P0.05）, wound healing was markedly improved （P0.05）. It is safe and reliable to apply Ji’an Shuneng wound care biological membrane after circumcision, with good analgesic effect, anti-infection and wound healing promotion, while leakage, edema and scar formation are reduced, as well as simple clinical manipulation, thus worthy of clinical application.