碘伏在脓肿切开引流术后换药中的临床应用

Clinical application of iodophor in patients with abscess incision drainage

目的观察碘伏在脓肿切开引流术患者中的临床应用效果。方法经患者知情同意后,将160例深部脓肿切开引流术患者分为2组即试验组和对照组。试验组(n=86)用3%过氧化氢溶液和0.9%氯化钠注射液充分冲洗脓腔后,采用0.5%碘伏纱条引流。对照组(n=74)用3%过氧化氢溶液和0.9%氯化钠注射液充分冲洗脓腔后,采用凡士林纱条引流。结果试验组换药次数(7.8次)及伤口愈合时间(9.7 d)明显少于或短于对照组(分别为15.2次和16.4 d),差异有统计学意义(P<0.01)。结论碘伏消毒液引流脓腔能加快伤口愈合,操作简便,安全性能好,值得临床推广应用。

Objective To observe the clinical efficacy of iodophor in patients with abscess incision drainage. Methods One hundred and sixty patients with deep abscess incision drainage were randomly divided into 2 groups: the experimental group( n = 86) and the control group( n = 74). The experimental group was drained with 0. 5% iodophor ribbon gauze,following complete rinsing of the vomica with 3% hydrogen peroxide solution and 0. 9% sodium chloride injection fluid,while the control group was drained with vaseline ribbon gauze,after complete rinsing of the vomica with 3% hydrogen peroxide solution and 0. 9% sodium chloride injection fluid.Results For the experiment group,the average number of dressing change( 7. 8) and healing time( 9. 7 days) were significantly less than those of the control group( respectively 15. 2 and 16. 4 days)( P < 0. 01). Conclusion Iodophor disinfectant drainage had the advantages of accelerating wound healing,easy manipulation and better safety,and it was worth further clinical extension.