新型敷料伤口护理与传统外科换药的应用效果比较

Comparison of effect of new dressing and traditional Surgical dressing change in wound care

目的：运用新型敷料进行伤口护理与传统外科换药的疗效行对比研究。方法：选择我院2017年l-12月收治的内、外科共4类伤口患者80例，将每类伤口患者随机平分在2组中，其中对照组使用碘伏、双氧水等消毒液进行传统的外科换药，观察组使用水胶体、藻酸盐、泡沫敷料等新型敷料进行换药，对比2组患者的疗效。结果：对照组的总有效率是85．0％，观察组是97．5％，观察组高于对照组，差异存在统计学意义（P〈0．05）。观察组伤口的愈合时间与换药次数均少于对照组，差异存在统计学意义（P〈0．05）。对比2组患者护理后的VAS评分，观察组低于对照组，差异存在统计学意义（P〈0．05）；对照组的疼痛控制率是42．5％，观察组是70．0％，观察组高于对照组，差并存在统计学意义（P〈0．05）。结论：运用新型敷料进行伤口护理的临床效果优于传统外科换药，可明显缩短伤口愈合时间，减少换药次数，疼痛控制率高，值得临床推行。

Objective：To compare the effect of new dressing for wound care and traditional surgical dressing. Methods： in our hospital from 2017 1 - 12 month, 80 eases of surgical wound patients with a total of four categories, each type of wound were randomly divided in two groups, the control group used iodophor disinfectant, hydrogen peroxide and other traditional surgical dressing, observation group u- sing colloid, alginate, foam dressings and other new dressings comparing the two groups of patients. Results： the total effective rate of the control group was 85%, the observation group was 97.5%, the observation group was higher than the control group, the difference was statistically significant （ P 〈 0.05 ）. The healing time and changing times of the wound in the observation group were less than those in the control group, and the difference was statistically significant （P 〈 0.05 ）. Compared the VAS scores of two groups after nursing, the observation group was lower than that of the control group, the difference was statistically significant （ P 〈 0.05） ; the pain control rate of the control group was 42.5%, the observation group was 70%, the observation group was higher than the control group, the difference was statistically significant （ P 〈 0.05 ）. Conclusion： the clinical effect of wound dressing with new dressing was better than that of tradi- tional surgical dressing, It could obviously shorten wound healing time, reduce dressing change times and control pain rate, and was wor- thy of clinical implementation.