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目的探讨苯扎氯铵溶液和聚维酮碘溶液治疗糖尿病合并口底蜂窝织炎患者的效果。方法对就诊已行脓肿切开引流35例糖尿病合并口底蜂窝织炎患者,随机分为观察组18例和对照组17例,每天分别用苯扎氯铵溶液和聚维酮碘溶液溶液冲洗脓腔,同时控制血糖,二组均在脓肿切时及术后第三天送细菌培养,记录每位患者冲洗换药天数。结果观察组3d后细菌培养,有细菌生长1例,对照组6例,差异有统计学意义;观察组平均换药天数(13.54±4.87)d;对照组为(19.09±6.27)d。结论糖尿病合并口底蜂窝织炎脓肿切开后用0.01%苯扎氯铵溶液冲洗脓腔较用0.5%聚维酮碘溶液冲洗效果更佳,患者满意度较高。
Objective To investigate the effect of benzalkonium chloride solution and povidone-iodine solution in the treatment of diabetic patients with mouth cellulitis. Methods A total of 35 patients with diabetes mellitus and oral cellulitis who underwent abscess incision and drainage were randomly divided into observation group (18 cases) and control group (17 cases). The patients were treated with benzalkonium chloride solution and povidone solution Cavity, at the same time control blood sugar, two groups were in the abscess cut and the third day after delivery of bacterial culture, record the number of days per patient wash dressing. Results The bacterial culture was observed after 3 days in the observation group, with 1 case of bacterial growth and 6 cases of control group. There was significant difference between the observation group and the control group (13.54 ± 4.87 days and 19.09 ± 6.27 days, respectively). Conclusions After the incision of diabetes mellitus with cellulitis of the mouth bottom, the abscess flushing with 0.01% benzalkonium chloride solution is better than that with 0.5% povidone iodine solution, and the patient satisfaction is higher.