纳米银敷料贴联合可吸收线在瘢痕体质腹部切口中的应用效果

Application of Nano-silver Combined with Absorbable Suture in Abdominal Incision in Patients with Scar Constitution

目的探讨纳米银敷料贴联合可吸收线在瘢痕体质患者腹部切口中的临床应用效果。方法将260例行腹部手术的瘢痕体质患者随机分为2组:对照组130例使用可吸收线连续内缝,术后使用普通无菌敷料贴;观察组130例使用可吸收线连续内缝,术后联合纳米银敷料贴。比较2组术后瘢痕增生率、切口感染率、缝线反应率及愈合时间。结果观察组术后瘢痕增生率、切口感染率及缝线反应率较对照组显著减少(P<0.05),愈合时间较对照组明显缩短(P<0.05)。观察组患者的瘢痕呈线形,伤口美观,疼痛轻微,无需拆线且缝线反应明显降低,术后30d复查切口满意。结论纳米银敷料贴与可吸收线联合使用有效弥补了可吸收线单独使用中存在的结缔组织增生,伤口感染及缝线反应问题,有效降低了术后并发症的发生。

Objective To observe the clinical efficacy of nano-silver combined with absorbable suture in abdominal incision in patients with scar constitution.Methods A total of 260 scar con-stitution patients undergoing abdominal operation were randomly treated with continuous absorb-able suture inseam in combined with either postoperative ordinary sterile dressing (control group, n=130)or postoperative nano-silver dressing (observation group,n=130).The incidences of scar hyperplasia,incision infection and suture reaction and healing time were compared between the two groups.Results Compared with control group,incidences of scar hyperplasia,incision infec-tion and suture reaction were decreased and healing time was shortened in observation group(P <0.05).In addition,in observation group,patients had linear scar,fine appearance,slight pain and mild suture reaction without removal of stitches,and were satisfied with the incision 30 days after operation.Conclusion Combined application of nano-silver dressing and absorbable suture can decrease connective tissue hyperplasia,incision infection and suture reaction and reduce postopera-tive complications.