亲水性纤维含银敷料在脓肿型淋巴结核切开引流术后的应用

Application of Aquacel Ag hydrofiber dressing in abscess scrofula

目的 观察亲水性纤维含银敷料用于脓肿型淋巴结核切开引流术后局部伤口换药的临床效果.方法 将42例脓肿型淋巴结核患者随机分为观察组和对照组,每组21例.在全身治疗的基础上,对照组采用传统的局部换药方法,观察组采用以亲水性纤维含银敷料为主的新型敷料进行局部换药.比较两组患者伤口愈合情况、换药时间及费用情况.结果 3个月局部治疗期内,对照组总有效率为71.4％,观察组总有效率为100.0％,两组比较差异有统计学意义（x2 =4.861,P＜0.05）;观察组换药时间为（9.7±0.5）h,对照组为（14.8±1.1）h;观察组换药成本为（1 751.67±50.03）元,对照组为（621.90±28.35）元,差异均有统计学意义（t值分别为18.97,-90.028;P＜0.01）.结论 亲水性纤维含银敷料应用于脓肿型淋巴结核切开引流术后,疗效优于传统换药方式,换药时间减少,但其经济成本高于传统换药方式.

Objective To observe the clinic effect of Aquacel Ag hydrofiber dressing used for wound of abscess scrofula after incision for drainage.Methods A total of 42 cases of abscess scrofula after incision for drainage were randomly divided into two groups.Based on the same systemic treatment,for control group,the traditional method of dressing was used,while for experiment group,Aquacel Ag hydrofiber dressings were used.The healing,cost and time of dressing change of two groups were observed and compared.Results Three months after treatment,the total effective rate of dressing change in experiment group was significantly higher than that in control group （100.0% vs 71.4% ;x2=4.861,P 〈 0.05）.The average dressing changed time of nurses in experiment group（9.7 ± 0.5） hours,was less than that in control group （14.8 ± 1.1） hours,while the average economic cost of treatment in experiment group （1 751.67 ± 50.03） yuan,was more expensive than that in control group（621.90 ± 28.35）yuan,and the differences were statistically significant（t =18.97,-90.028,respectively;P 〈 0.01）.Conclusions Aquacel Ag hydrofiber dressing used for wound of abscess scrofula after incision for drainage are superior to the common dressings in promoting the wounds healing,reducing the workload of changing dressing,controlling the incision infection and easing the pains.But the economic cost is relatively high.