摘要
目的探讨不同处理方法对痔术后创面愈合的影响,寻求适宜的伤口处理方法,减轻创面的疼痛,促进痔术后创面的愈合。方法采用随机数字表法将120例重度混合痔术后患者分为3组,每组40例。A组采用痔痛安搽剂坐浴联合藻酸盐敷料换药,B组采用痔痛安搽剂坐浴及聚维酮碘纱布换药,C组采用临床常规换药方法,即:1∶5000高锰酸钾溶液坐浴加聚维酮碘纱布换药。观察3组术后第1、3、5天坐浴后创面疼痛情况,术后第5天观察并统计创面水肿、出血、肉芽生长情况,并统计3组创面愈合天数。结果 A组、B组创面愈合时间均短于C组,差异有统计学意义(P<0.01);A组在减少创面出血﹑促进肉芽组织的生长﹑减少疼痛及缩短愈合时间等方面的疗效均明显优于B组、C组,差异有统计学意义(P<0.01)。结论痔痛安搽剂坐浴联合藻酸盐敷料换药对痔术后创面的修复具有促进作用,并能显著减少创面的疼痛、出血、水肿,促进肉芽生长,缩短创面愈合时间。
Objective To compare the effects of three dressing methods on wound pain and healing in patients after hemorrhoid surgery. Methods Totally 120 postoperative patients with advanced mixed hemorrhoids were randomly divided into three groups,40 cases in each group. Group A received Zhitong＇an liniment sitz bath combined with alginate dressing;Group B received Zhitong＇an liniment sitz bath combined with conventional iodophor gauze dressing;Group C received 1：5000 potassium permanganate（PP） sitz bath combined with conventional iodophor gauze dressing. The incision pain,edema,bleeding,growth of granulation tissue,the time to wound healing were recorded and compared among the three groups. Results The times to wound healing in Group A and Group B were significantly shorter than that in Group C（P〈0.01）. Moreover,Group A showed significant advantages on growth of granulation tissue,reducing incision pain,edema,bleeding,and the time to wound healing compared with Group B and C（P〈0.01）. Conclusions Zhitong＇an liniment sitz bath combined with alginate dressing can promote wound healing and the growth of granulation tissue, and reduce wound pain, bleeding and edema.
出处
《中华护理杂志》
CSCD
北大核心
2012年第9期781-783,共3页
Chinese Journal of Nursing
基金
浙江省中医药科技计划项目(编号:H20102187)
关键词
痔
手术后医护
伤口愈合
Hemorrhoids
Postoperative Care
Wound Healing
