银离子敷料联合凝胶泡棉敷料促进体表脓肿切开引流术后残腔愈合的效果

Effect of silver ion dressing and gel foam dressing on the healing of surface abscess after incision drainage

目的研究银离子敷料联合凝胶泡棉敷料促进体表脓肿切开引流术后残腔愈合的效果。方法将治疗体表脓肿切开引流术后患者80例，随机分为观察组和对照组，每组40例。观察组用银离子敷料填充伤口，凝胶泡棉敷料做外层固定；对照组使用碘伏纱条做残腔创面引流，外用无菌纱布做外层固定。两组均2～3d换药1次。比较两组治疗后残腔容积、换药次数和残腔愈合时间。结果治疗前两组患者残腔容积比较差异无统计学意义（P〉0．05）；治疗后3，7，14d观察组残腔容积分别为（3．26±1．17），（1．89±0．92），（0．61±0．52）ml；对照组残腔容积分别为（3．48±1．16），（2．73±1．02），（1．43±0．66）ml，治疗后3d两组残腔容积差异无统计学意义（P〉0．05），7d和14d残腔容积差异有统计学意义（t值分别为3．86，6．17；P〈0．01）。换药次数：观察组（7．87±1．18）次，对照组（11．04±1．45）次；残腔愈合时间：观察组（18．31±2．67）d，对照组（21．24±3．24）d，两组患者换药次数和残腔愈合时问比较差异有统计学意义（t分别为4．41，5．62；P〈0．01）。结论银离子敷料联合凝胶泡棉敷料应用于体表脓肿切开引流术后残腔治疗，可加快残腔愈合，减少换药次数，为减轻护理工作量提供了新的方法，可在临床中推广使用。

Objective To study the effect of Silver ion dressing and gel foam dressing on the healing of Surface abscess after incision drainage. Methods Totals of 80 cases with body abscess after incision drainage were randomly divided into the observation group and the control group, with 40 cases each group. In observation group, used ions silver dressing to fill the wound, and fixed by gel foam dressing. While in control group, used iodoform gauze for residual cavity wound drainage, and fixed by topical sterile gauze. The two groups were dressing one time after 2 - 3 days. After the treatment, residual cavity volume, frequency of dressing changes and residual cavity healing time were observed and compared. Results No significant difference was found in the residual cavity volume before the intervention （ P 〉 0.05 ）. Three days after the intervention, no significant difference was found in residual cavity volume between observation group and control group [ （ 3.26 ± 1.17 ） ml vs （ 3.48 ± 1.16 ） ml ; P 〉 0.05 ） ], while significant difference was in the 7th day and 14th day after the intervention [ （1.89 ±0.92）ml vs （2.73 ± 1.02） rnl, （0.61 ±0.52） ml vs （ 1.43 ±0.66） ml; t =3.86, 6.17, respeetively;P 〈 0.01 ）]. And the frequency of dressing changes and residual cavity healing time in observation group respectively were （7.87 ± 1.18） times and （18.31 ±2.67） days,and that in control group were （ 11.04 ± 1.45） times and （21.24 ±3.24） days,and the difference was statistically significant （t = 4.41,5.62, respectively; P 〈 0. 01 ）. Conclusions Ions silver dressing and gel foam dressing in treating residual cavity on body surface after abscess is a new method to prompt the healing of residual cavity, which can reduce the frequency of dressing change and clinic nursing workload.