小剂量紫外线照射联合优拓和藻酸盐填塞治疗窦道

Treatment of sinus with low-dose ultraviolet irradiation combined with Urgotul and alginate packing

目的研究紫外线照射外加优拓包裹藻酸盐填充窦道在脊髓损伤及偏瘫患者窦道治疗中的效果。方法将60例脊髓损伤或偏瘫并发窦道患者随机分为对照组和观察组各30例。两组均使用常规方法清创,对照组(30处窦道)采用溃疡糊填充窦道及周围组织,外用美皮康覆料覆盖;观察组(30处窦道)先用小剂量紫外线照射窦道10～20 s/次,外加优拓包裹藻酸盐制成圆柱状填充窦道。结果观察组窦道治疗效果显著优于对照组(P<0.01),且治疗时间比对照组缩短。结论使用小剂量紫外线照射外加优拓包裹藻酸盐填充窦道,明显加快了窦道的愈合速度,缩短了治疗时间。

Objective To explore the effect of treating sinus with low-dose ultraviolet irradiation combined with Urgotul and alginate dressing packing for patients with spinal cord injury or stroke hemiplegia.Methods A total of 60 patients with spinal cord injury or hemiplegia complicated with sinuses were commensurately and randomly divided into a control group and an observation group.Both groups were subjected to conventional wound debridement method.After that,for the control group,the sinuses were packed with Comfeel ulcer paste,and covered by Mepilex dressing.By contrast,for the observation group,the sinus area was first irra-diated with low-dose ultraviolet,10~20 s each time,and then packed with Urgotul and alginate dressing like a roll.Results The treatment effect of the observation group was significantly better than that of the control group（P0.01）,and treatment length was also shorter.Conclusion It′s an effective method to treat sinus with low-dose ultraviolet irradiation combined with Urgotul and alginate dressing.The method significantly increases the healing rate,and shortens the treatment length.