美盐敷料用于伤口肉芽组织水肿创面换药的效果观察

Clinical observation on effect of Mesalt in dressing change for wound granulation tissue

目的探讨美盐敷料在伤口肉芽水肿创面中的应用效果。方法 60例慢性伤口患者随机分为实验组和对照组,各30例。2组均常规伤口清创,实验组采用美盐敷料,对照组采用银离子油纱敷料。观察2组换药时疼痛程度和敷料二次创伤情况,记录2组换药次数和费用,比较2组愈合效果。结果实验组换药时疼痛评分和二次创伤评分均低于对照组,差异有统计学意义(P<0.05),实验组换药频次和换药费用均低于对照组,差异有统计学意义(P<0.01),实验组痊愈率56.67%(17/30),高于对照组的16.67%(5/30),差异有统计学意义(P<0.01)。结论美盐敷料能够有效减轻患者换药时的疼痛,减少敷料的二次创伤,促进伤口愈合。

Objective To observe the effect of Mesalt in dressing change for wound granula-tion tissue. Methods A total of 60 chronic wound patients were randomly divided into the study group and the control group, with 30 cases in each group. Both two groups received wound Debride-ment. The Silver ionic dressing and Mesalt was applied in the control group and study group, respec-tively. The pain degree at dressing change and secondary insult caused by dressing were evaluated by numeric rating scale （NRS） and World Union of Wound Healing Societies standard （WUWHS）. The frequency and cost of dressing change were record, and effect of wound healing was compared between two groups. Results The score of NRS and WUWHS standard were lower in the study group than those in the control group （P 〈 0. 05 ） . Patients in the study group had lower frequency and cost of dressing change compared with those in the control group, with significant difference （P 〈0.01）. the complete wound healing rate was 56.67% （17/30）in the study group and was 16.67% （5/30） in the control group , with a significant difference （P 〈0. 01） . Conclusion Application of Mesalt in dress-ing change can reduce the pain degree and risk of secondary insult, and to improve the wound healing in chronic wound patients.