壳聚糖宫颈抗菌膜促进宫颈高频电刀术后创面愈合的临床疗效观察

Observation of clinical Curative effect of chitosan cervical antibacterial film to promote cervical high frequency electrocautery in wound healing

目的观察壳聚糖宫颈抗菌膜在宫颈高频电刀术后恢复过程中的效用及安全性。方法将在门诊因宫颈病变行高频电刀手术治疗的268例患者随机分成两组,观察组术后宫颈使用壳聚糖抗菌贴膜,对照组宫颈不使用药物,分别对其术后阴道流血、阴道排液情况、创面愈合时间及术后宫颈并发症的发生率进行分析比较。结果观察组阴道流血时间、阴道排液和创面愈合时间明显短于对照组(P<0.05),3月内随访发现观察组宫颈局部并发症发生率低于对照组(P<0.05)。结论壳聚糖宫颈抗菌膜可减少宫颈高频电刀术后的出血及感染,有助于创面的恢复,并能有效降低宫颈并发症的发生率,其用于宫颈高频电刀术后是安全有效的,值得临床推广应用。

Objective To observe clinical curative effect and safety of chitosan cervical antibacterial film in cervical electrocautery during recovery after the utility. Methods In the clinic for cervical lesions underwent electrosurgical operation treatment of 268 cases of patients were randomly divided into two groups, the observation group of postop- erative cervical using chitosan antibacterial film, controls cervical without the use of drugs, the postoperative vaginal bleeding, vaginal discharge, wound healing time and postoperative uterine neck and incidence rate of complication a- nalysis comparison. Results In observation group, the time of vaginal bleeding, vaginal discharge and wound healing time was significantly shorter than that in control group（ P 〈 0.05 ）, March follow -up observation group cervical local complication rate is lower than that of control group （ P 〈 0.05 ）. Conclusion Chitosan cervical antibacterial film can reduce the cervical electrocautery after hemorrhage and infection, contribute to the wound recovery, and can effectively reduce the cervical occurrence rate of complications for cervical, following high - frequency etectrocautery via is safe and effective, it is worthy of clinical application .