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硫酸银敷料联合负压封闭引流治疗难愈性创面的疗效观察

潘韦行 张栖玮 罗辉霞 贾伟

中国美容医学2024,Vol.33Issue(4):45-48,4.
中国美容医学2024,Vol.33Issue(4):45-48,4.

硫酸银敷料联合负压封闭引流治疗难愈性创面的疗效观察

Efficacy of Silver Sulfate Dressing Combined with Vacuum Sealing Drainage in the Treatment of Refractory Wounds

潘韦行 1张栖玮 2罗辉霞 3贾伟4

作者信息

  • 1. 内江市第一人民医院美容整形烧伤科 四川 内江 641000
  • 2. 内江市第一人民医院检验科 四川 内江 641000
  • 3. 内江市第一人民医院甲状腺乳腺科 四川 内江 641000
  • 4. 宝鸡市中心医院烧伤整形科 陕西宝鸡 721000
  • 折叠

摘要

Abstract

Objective To explore the clinical efficacy of lipid hydrocolloid silver sulfate dressing combined with vacuum sealing drainage in the treatment of refractory wounds.Methods Eighty patients with chronic refractory wounds who came to author's hospital from February 2022 to December 2022 were selected and divided into the experimental group and the control group according to the random single-blind grouping method,with 40 cases in each group.The control group was treated with vacuum sealing drainage technology,and the experimental group was treated with silver sulfate dressing combined with vacuum sealing drainage technology.The wound healing,inflammatory index level,wound pain degree and sleep quality of patients were observed and compared between the two groups.Results When dressing was changed twice,the bacterial clearance rate of the experimental group was higher than that of the control group(P<0.05).After 2 weeks of treatment,the wound healing rate and granulation growth score of the experimental group were higher than those of the control group,and the wound pain score was lower than that of the control group(P<0.05).After 2 weeks of treatment,the serum white blood cells,C-reactive protein,and erythrocyte sedimentation rate,and the levels of tumor necrosis factor-α and interleukin-6 in wound tissue in the experimental group were lower than those in the control group(P<0.05).There was no statistically significant difference in PSQI scores between the two groups before treatment and 2 weeks after treatment(P>0.05).Conclusion Lipid hydrocolloid silver sulfate dressing combined with vacuum sealing drainage in the treatment of chronic refractory wounds can inhibit bacterial reproduction,reduce the risk of infection,and promote wound healing,with significant effect.

关键词

脂质水胶体硫酸银敷料/负压封闭引流/难愈性创面/创面愈合/细菌清除率

Key words

lipid hydrocolloid silver sulfate/vacuum sealing drainage/refractory wounds/wound healing/bacterial clearance rate

分类

医药卫生

引用本文复制引用

潘韦行,张栖玮,罗辉霞,贾伟..硫酸银敷料联合负压封闭引流治疗难愈性创面的疗效观察[J].中国美容医学,2024,33(4):45-48,4.

基金项目

2021四川省医学会泰阁专项课题(编号:2021TG31) (编号:2021TG31)

中国美容医学

OACSTPCD

1008-6455

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