藻酸盐敷料在低位单纯性肛瘘术后创面的应用

Application of Alginate Dressing in Postoperative Wounds of Low Simple anal Fistula

目的观察藻酸盐辅料应用于低位单纯肛瘘术后创面换药的临床效果。方法选取2016年6月~2018年3月在我院诊断低位单纯性肛瘘,并行低位肛瘘手术的患者作为研究对象,随机数字表法分为观察组和对照组,每组121例。观察组术后换药应用藻酸盐敷料覆盖创面,对照组采用凡士林纱布覆盖创面。比较两组患者创面换药次数、创面清洁度和愈合时间。结果观察组平均换药次数为(9.03±3.86)次,少于对照组的(13.47±3.92)次,差异有统计学意义(P<0.05);观察组创面Ⅰ级清洁率(76.03%)高于对照组(13.22%),Ⅱ、Ⅲ级清洁率低于对照组,差异有统计学意义(P<0.05);观察组平均愈合时间为(17.67±5.37)d,短于对照组的(25.32±3.49)d,差异有统计学意义(P<0.05)。结论藻酸盐敷料应用于低位单纯肛瘘术后创面换药,可显著减少换药次数、创面分泌物,愈合时间较传统敷料明显缩短,效果优良。

Objective To observe the clinical effect of alginate excipients in the treatment of wounds after low-grade anal fistula.Methods Patients who underwent low-grade anal fistula and were treated with low anal fistula in our hospital from June 2016 to March 2018 were enrolled in the study.The randomized digital table method was divided into observation group and control group,with 121 cases in each group.In the observation group,the alginate dressing was used to cover the wound after the dressing change,and the control group covered the wound with Vaseline gauze.The number of dressing changes,wound cleanliness and healing time were compared between the two groups.Results The average number of dressing changes in the observation group was(9.03±3.86)times,which was less than that in the control group(13.47±3.92),the difference was statistically significant(P<0.05).The wound cleansing rate of the observation group was high in grade I(76.03%).In the control group(13.22%),the cleaning rate of grade II and III was lower than that of the control group,the difference was statistically significant(P<0.05);the average healing time of the observation group was(17.67±5.37)d,the healing time was shorter than that of the control group(25.32±3.49)d,the difference was statistically significant(P<0.05).Conclusion Alginate dressing is applied to the wound dressing after low-grade simple anal fistula,which can significantly reduce the number of dressing changes and wound secretion.The healing time is obviously shortened compared with the traditional dressing,and the effect is excellent.