磺胺嘧啶银脂质水胶敷料用于皮肤软组织损伤创面换药的效果

Effect of urgotul used in wounds of the skin soft tissue injury

目的探讨磺胺嘧啶银脂质水胶敷料（优拓SSD）用于皮肤软组织损伤创面换药的疗效。方法将864例患者按单双号随机分为观察组与对照组，创面在常规消毒后，观察组用优拓SSD敷料覆盖创面。对照组用凡士林油纱覆盖创面。观察并记录两组患者伤1：3清创后次日第1次换药时是否创面粘连、有无疼痛、出血及伤口换药次数、伤口愈合时间。结果观察组患者更换敷料时无创面粘连发生、发生疼痛39例、出血22例，对照组发生创面粘连231例、疼痛294例、出血160例，组间比较差异具有统计学意义（X^2分别为365．75，384．28，160．61；P〈0．05）。观察组平均换药次数为（4．2±0．8）次，对照组为（8．3±1．5）次，组间比较差异具有统计学意义（u=49．0，P〈0．01）。结论优拓SSD属高保护敷料，具有不粘创面、换药无疼痛及出血、加速创面愈合等优点，疗效优于凡士林油纱。

Objective To explore the effect of urgotul used in wounds of the skin soft tissue injury. Methods 864 patients were divided into two groups： control group and observation group. After regular disinfection, patients in observation group used urgotul to cover wound surface and patients in control group used vaseline to cover it. Whether the patients appeared having hemorrhage, feeling pain, wound adhesion, change number and wound healing time were observed and compared at first dressing the next day. Results No wound adhesion occurred, 39 cases felt pain and 22 cases had hemorrhage in observation group and 231,294 and 160 cases in control group, respectively. The differences between the two group were significant （X2 =365.75,384.25,160. 61 ,respectively;P 〈 0. 05）. The mean change number in observation group was （ 4.2 ± 0. 8） and （8.3 ± 1.5） in control group, and the difference was also significant （u =49. 0, P 〈0. 01）. Condusions Urgetul, as a high protection dressing, is better than that of vaseline in having hemorrhage, feeling pain, wound adhesion, change number and wound healing time.