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目的探讨新型含银敷料在小儿先天性耳前瘘管感染期手术切口换药中的临床应用效果。方法选取2014年5月至2016年5月该院收治的先天性耳前瘘管感染期患儿168例,将其分为观察组(96例)与对照组(72例)。观察组患儿采用新型含银敷料换药,对照组患儿采用传统的纱布敷料或凡士林纱布换药。观察两组临床疗效、伤口愈合时间、换药次数及疼痛程度等。结果观察组患儿总有效率[98.96%(95/96)]明显高于对照组[94.44%(68/72)],差异有统计学意义(P<0.05);观察组换药次数和愈合时间[(5.7±1.1)次、(6.8±0.8)d]均少于对照组[(7.3±1.6)次、(8.8±1.4)d],差异均有统计学意义(P<0.05)。观察组患儿疼痛评分明显低于对照组;且在接受度上优于对照组,差异均有统计学意义(P<0.05)。结论亲水性纤维含银敷料具有减轻疼痛,缩短治疗时间,减少护士工作量,提高伤口愈合效果的作用。
Objective To investigate the clinical application of the new silver dressing in the surgical dressing change in children with congenital preantenteral fistula infection. Methods A total of 168 children with congenital auricular fistula infection were selected from May 2014 to May 2016 in the hospital and divided into observation group (96 cases) and control group (72 cases). The observation group of children with a new type of silver dressing dressing, the control group of children with traditional gauze dressing or Vaseline gauze dressing. The clinical curative effect, wound healing time, dressing frequency and pain degree were observed. Results The total effective rate (98.96% (95/96)] in observation group was significantly higher than that in control group [94.44% (68/72)], the difference was statistically significant (P <0.05) The time was (5.7 ± 1.1) times and (6.8 ± 0.8) days, respectively, less than that in the control group (7.3 ± 1.6) and (8.8 ± 1.4) days, respectively. The differences were statistically significant (P <0.05). The score of pain in the observation group was significantly lower than that of the control group, and the difference was statistically significant (P <0.05). Conclusion Hydrophilic silver-containing dressing has the effect of reducing pain, shortening the treatment time, reducing the work load of nurses and improving the wound healing effect.