藻酸盐敷料及糖类敷料在阑尾切除术后伤口感染治疗中对比研究.docVIP

藻酸盐敷料及糖类敷料在阑尾切除术后伤口感染治疗中对比研究 　　【摘要】 目的：对比藻酸盐、糖类敷料在治疗阑尾切除术后伤口感染中的效果。方法：选取2011-2015年行经典的阑尾切除术患者，术后产生切口感染158例患者，随机分为藻酸盐敷料组和糖类敷料组，分别采用藻酸盐、糖类敷料治疗，比较两组伤口平均愈合时间。结果：糖类敷料组的平均愈合时间为（22.3±1.5）d，藻酸盐敷料组为（19.2±1.1）d，两组平均愈合时间比较差异有统计学意义（P0.05）。结论：糖类敷料愈合时间早于藻酸盐敷料。 　　【关键词】 伤口感染； 藻酸盐敷料； 糖类敷料 　　doi：10.14033/j.cnki.cfmr.2016.32.066 文献标识码 B 文章编号 1674-6805（2016）32-0118-02 　　A Comparative Study of the Treatment of Alginate Wound Accessories and Carbohydrate Wound Accessories in Wound Infection after Appendectomy/MU Teng.//Chinese and Foreign Medical Research，2016，14（32）：118-119 　　【Abstract】 Objective：To compare the efficacy of Alginate Wound Accessories and Carbohydrate Wound Accessories in the treatment of wound infection after appendectomy.Method：The study was conducted in 158 patients with incision infection who were from our hospital from 2011 to 2015.The patients were randomly divided into two groups.One group using Alginate Wound Accessories，the other one using Carbohydrate Wound Accessories.Then compared the average healing time of the two groups.Result：The average healing time for the group of Alginate Wound Accessories was （22.3±1.5）d，the average healing time for the group of Carbohydrate Wound Accessories （19.2±1.1）d，there was significant difference in two groups（P0.05）.Result：The average time of wound healing with who used Alginate Wound Accessories is longer than who used Carbohydrate Wound Accessories.It can be promoted in clinical. 　　【Key words】 Wound infection； Alginate Wound Accessories； Carbohydrate Wound Accessories 　　First-author’s address：North Hospital of Beijing Fengtai Hospital，Beijing 100071，China 　　急性?@尾炎是外科常见腹腔感染性疾病，其主要的治疗方案为手术切除。但由于其为腹腔内感染性疾病，切口以Ⅱ、Ⅲ类切口为主，其术后最常见并发症为切口感染。目前大多数研究主要是针对阑尾切除术后伤口感染的相关因素。随着伤口敷料的不断发展，目前应用于伤口感染的敷料层出不穷。本文针对藻酸盐敷料及糖类敷料在阑尾切除术后伤口感染的疗效进行对比分析。 　　1 资料与方法 　　1.1 一般资料 　　选取2011-2015年行经典的阑尾切除术，即经右下腹麦氏切口行阑尾切除术后3～5 d发生伤口感染的患者158例，男80例，女78例。随机分为藻酸盐敷料组和糖类敷料组，各79例。藻酸盐敷料组男40例，女39例，年龄5～70岁，平均（45.2±3.1）岁。糖类敷料组男40例，女39例。年龄5～70岁，平均（16.3±2.9）岁，两组患者性别、年