摘要
目的探讨一期缝合联合银敷料治疗犬咬伤Ⅲ级创面的临床疗效。方法将本院2011年6月～2012年7月收治的50例犬咬伤的Ⅲ级创面患者随机分为实验组与对照组。实验组采用一期缝合联合银敷料方法,对照组按照犬咬伤的常规处理,分别在治疗后半个月、1个月观察实验组与对照组的总体有效率,以及两组的创面愈合时间、换药次数、疼痛评分、治疗费用。结果实验组治疗后半个月及1个月的总有效率明显高于对照组,两组之间差异有统计学意义(P<0.05)。实验组患者的创面愈合时间、换药次数、治疗费用及疼痛评分均明显小于对照组,两组之间差异有统计学意义(P<0.05)。结论一期缝合联合银敷料可提高治疗狗咬伤创面的疗效,提高治愈率,值得在临床推广应用,有进一步完善和推广的前景。
Objective To explore the clinical efficacy of the primary suture combined with silver dressing in the treat- ment of grade Ⅲ dog bite wound.Methods Fifty patients with grade m dog bite wound admitted to our hospital from June 2011 to July 2012 were randomly divided into the experimental group and the control group.The experimental group received the primary suture combined with silver dressing method and the control group received the routine treatment for dog bite wound.The total effective rates,wound healing time,numbers of times of dressing change,pain scores and treatment costs of the experimental group and the control group were observed half a month and one month after the treatment.Results The total effective rate of the experimental group half a month and one month after the treatment were significantly higher than those of the control group,with statistically significant differences （P〈0.05）.The wound healing time,numbers of times of dressing change,pain scores and treatment costs of the experimental group were all smaller than those of the control group,with statistically significant differences （P〈0.05）.Conclusion The pri- mary suture combined with silver dressing can improve the efficacy for dog bite wound and increase the healing and improvement rate,so it is worthy of clinical application and promotion.
出处
《中国当代医药》
2013年第20期75-76,78,共3页
China Modern Medicine
基金
广东省社会发展领域科技计划项目(粤科社字[2011]106号)
关键词
犬咬伤Ⅲ级创面
一期缝合
银敷料
Dog bite wounds grade Ⅲ
Primary suture
Silver dressings
