摘要
为研究壳聚糖敷料对肛周脓肿术后创面愈合的临床疗效,将86例肛周脓肿术后患者随机分为观察组和对照组,各43例。均行肛周脓肿一次性根治术,观察组术后采用壳聚糖引流纱条换药,对照组采用生理盐水引流纱条换药。比较2组创面愈合率、创面疼痛和创面肉芽组织生长情况。结果显示,观察组术后3d创面愈合率与对照组相比无明显差异(P>0.05);术后7d、15d创面愈合率高于对照组(P<0.05);术后3d、7d和15d创面疼痛评分均低于对照组(P<0.05);术后3d肉芽组织生长评分与对照组相比无明显差异(P>0.05);术后7d、15d肉芽组织生长评分低于对照组(P<0.05)。结果表明,肛周脓肿术后应用壳聚糖引流纱条换药,可促进创面肉芽组织生长,缩短创面愈合时间,有效缓解创面疼痛。
This study was to investigate the clinical effect of chitosan dressing on wound-surface healing after surgery for perianal abscess(PA),randomly divided 86 PA patients who had all received primary radical procedure into observation group(43 cases,adopted chitosan drainage gauze stripfor dressing exchange)and control group(43 cases,physiological saline one for dressing exchange);then,compared both groups’wound-surface healing rate,and,the status on wound-surface pain,and on granulation tissue growth.As results,3 days after surgery in wound-surface healing rate there was no statistical difference between the two groups(P>0.05),but 7 days,15 days after surgery observation group was higher than control group(P<0.05);3 days,7 day and 15 days after surgery in the score rating of pain observation group was all lower than control group(P<0.05);3 days after surgery the score rating of granulation tissue growth there was no statistical difference between the two groups(P>0.05),but 7 days,15 days after surgery observation group was lower than control group(P<0.05).Results show that after PA surgery chitosan drainage gauze strip for dressing exchange can significantly promote granulation tissue growth,shorten healing time,effectively relieve pain.
作者
赵学金
ZHAO Xue-jin(Coloproctological Dept.,the 5th People's Hospital of Xinghua City,Jiangsu 225766)
出处
《中国肛肠病杂志》
2019年第12期21-23,共3页
Chinese Journal of Coloproctology
关键词
肛周脓肿
术后
壳聚糖
疗效
Perianal abscess
Postoperation
Chitosan
Efficacy
