两种换药方法在拔甲术后的应用效果观察

The observation on the effect of two wound dressing methods after operation of pulling out nail

目的探讨两种换药方法在拔甲术后创面换药中的应用效果。方法将86例拔甲术后的患者随机分为观察组43例和对照组43例,对照组采用传统的换药方法;观察组通过延长拔甲术后患者至48～60 h进行首次换药,并在首次换药时留下一层约2 cm×2 cm凡士林纱,且1周左右用0.02%PP液浸泡使其脱落等换药处理。观察两组在拔甲术后再次换药时是否疼痛、出血以及伤口换药次数、伤口愈合时间等并进行比较。结果观察组在再次换药时是否疼痛、出血以及伤口换药次数、伤口愈合时间等方面明显优于对照组（P〈0.01）,差异具有统计学意义。结论对拔甲术后患者实施有针对性的换药处理,可以减轻患者的疼痛,并促进创面愈合。

Objective To iscuss the effect on two kinds of treatment methods in the application of pulling a postoperative wound dress-ing. Methods 86 cases of postoperative patients were randomly divided into observation group 43 patients and control group 43 cases, with control group using traditional dressing methods, while observation group by extending a postoperative patient pull the bandage to 48～60 hours for the first time, and leave when dressing for the first time a layer 2 cm×2 cm vaseline gauze, and a week or so make it fall off in an 0.02% PP liquid such as dressing processing. Then they were observed and compared whether the two groups in a postoperative dressing again pull pain, bleeding and the number of wound dressing, wound healing time. Results When the dressing change again pain, bleeding, and number of the wound dressing, wound healing time in observation group were better than those in control group, with significant difference（P〈0.01）. Conclusion It can help ease the pain of patients, and promote wound healing, when using targeted treatment processing to pull out a postoperative patients.