银离子与藻酸盐敷料联合用于糖尿病并发脓肿切开引流伤口换药的效果观察

Analysis of therapeutic effects of silver alginate and alginate dressing in treating diabetes complicated with abscess incision drainage of the Wound

目的观察银离子与藻酸盐敷料联合用于糖尿病并发浅表脓肿切开引流患者伤口愈合的效果。方法将160例糖尿病并发脓肿切开引流患者分为两组,试验组81例患者采用银离子与藻酸盐敷料联合治疗,对照组79例患者采用凡士林纱条联合利凡诺纱条治疗。结果试验组在感染控制时间和伤口愈合时间方面均短于对照组(P<0.05),换药次数少于对照组(P<0.05)、疼痛评分低于对照组(P<0.05),且两组治疗费用无明显差异(P>0.05)。结论银离子敷料与藻酸盐联合用于糖尿病并发浅表脓肿切开引流术后伤口换药,可有效控制伤口炎症,缩短疗程,减轻伤口疼痛,提高患者的生活质量,减轻护理工作量。

[Objective]To explore the effect of alginate silver united alginate dressing used for diabetes complicated with abscess incision drainage of the wound. [Methods]In 160 cases diabetes combined with abscess incision drainage of the wound cases were randomly divided into two groups, 81 cases in the experimental group treatment with alginate silver united alginate dressing,the other 79 cases of dressing method of vaseline oil gauze and article rivanol gauze as control.[Results]The experimental group took less time than the control group for infection controlling and healing（P〈0.05）. The times of the experimental group for changing dressing was less than the control group（P〈0.05）. The score of pain of changing dressing of the experimental group was less than the control group（P〈0.05）. No significant difference in treatment costs was observed（P〉0.05）.[Conclusion]Alginate silver and alginate dressing used for diabetes mellitus with body surface abscess drainage of the wound can control the wound inflammation effectively, shorten the course of treatment, reduce the frequency of dressing change, reduce wound pain, and improve the quality of life and reduce the nursing workload.