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目的探讨湿性愈合敷料在胸部手术患者切口感染中的临床疗效,为切口感染患者换药方案的选择提供参考依据。方法选择2012年9月-2014年12月于医院心胸外科接受开胸手术治疗后发生切口感染的70例患者为研究对象,随机分为对照组和观察组,各35例;对照组患者采用传统干纱布换药方案,观察组患者采用湿性愈合敷料换药;比较两组患者的愈合时间及临床疗效,数据采用SPSS 17.0软件进行统计分析。结果观察组患者新生肉芽组织生长时间及切口完全愈合时间分别为(4.63±1.92)(12.46±3.51)d,显著短于对照组(7.45±2.87)(18.73±4.16)d;观察组的总有效率为91.43%,显著高于对照组71.43%,两组比较,差异均有统计学意义(P<0.05)。结论湿性愈合辅料可以加速开胸手术切口部位感染患者切口的愈合,提高治疗效果和患者满意度,并降低医疗费用,值得在临床推广。
Objective To investigate the clinical curative effect of wet healing dressing in incision infection in patients with thoracic surgery and to provide a reference for the selection of dressing change program in patients with incision infection. Methods Seventy patients with incisional infection who underwent thoracotomy in the department of cardiothoracic surgery from September 2012 to December 2014 were selected as study subjects and randomly divided into control group and observation group with 35 cases each. Patients in control group were treated with traditional Dry gauze dressing program, the observation group of patients with wet healing dressing dressing; comparison of the two groups of patients healing time and clinical efficacy, the data were analyzed by SPSS 17.0 software. Results The growth time of fresh granulation tissue and the complete wound healing time in the observation group were (4.63 ± 1.92) days (12.46 ± 3.51) days, which were significantly shorter than those in the control group (7.45 ± 2.87 days, 18.73 ± 4.16 days) The efficiency was 91.43%, which was significantly higher than that of the control group (71.43%). There was significant difference between the two groups (P <0.05). Conclusion Moist healing materials can accelerate the incision heal of incision site of thoracic surgery, improve the treatment effect and patient satisfaction, and reduce the medical expenses, which is worth to be popularized clinically.