摘要
目的探讨高渗盐水湿敷、浸泡治疗甲沟炎的临床疗效。方法将546例甲沟炎患者按随机数字表法分为观察组(276例)和对照组(270例)。观察组采用"部分甲拔除→高渗盐水湿敷→浸泡"治疗。对照组采用"全甲拔除→换药"治疗。对2组的疗效、创口愈合时间、拔甲术中及术后24h疼痛程度进行比较。所有患者均随访1年,观察其复发率。结果观察组创口愈合时间为(6.86±2.22)d,对照组创口愈合时间为(12.74±6.01)d,2组比较差异有统计学意义(P<0.01);观察组愈合率为99.63%、好转率为0.36%,对照组愈合率为98.52%、好转率为1.11%,2组愈合、好转率比较差异无统计学意义(P>0.05)。2组均随访1年,观察组复发率为2.90%,对照组复发率为41.48%,观察组的复发率明显低于对照组(P<0.005)。观察组术中及术后24h疼痛程度较对照组明显减轻(P<0.01)。结论部分甲拔除后高渗盐水湿敷、浸泡治疗甲沟炎,可减小局部损伤,加快伤口愈合,减轻患者疼痛,降低复发率。
ABSTRACT:Objective To investigate the clinical effect of hypertonic saline compress and soa-king on paronychia.Methods A total of 546 patients with paronychia were randomly divided into two groups.The observation group(n=276)was treated with partial nail removal,hypertonic sa-line compress and soaking.However,the control group(n=270)was treated with whole nail re-moval and dressing change.The curative efficacy,wound healing time and pain during and 24 hours after nail removal were compared between the two groups.All patients were followed up for 1 year and the recurrence rate was observed in both groups.Results The wound healing time in observation group was significantly shorter than that in control group((6.86 ± 2.22)days vs (12.74±6.01)days,P<0.01).There were no significant differences in the healing rate and im-provement rate between the two groups(99.63% vs 98.52% and 0.36% vs 1.11%,respectively;P>0.05).The recurrence rate in observation group was significantly lower than that in control group(2.90% vs 41.48%,P<0.005).In addition,the degree of pain during and 24 hours after nail removal in observation group was significantly lower than that in control group(P<0.01). Conclusion Hypertonic saline compress and soaking following partial nail removal can reduce lo-cal damage,accelerate wound healing,relieve pain and decrease recurrence rate in patients with paronychia.
出处
《实用临床医学（江西）》
CAS
2015年第4期69-72,共4页
Practical Clinical Medicine
基金
江西省科技厅支撑项目(20112BBG70052)
关键词
高渗盐水
湿敷
浸泡
甲沟炎
hypertonic saline
hydropathic compress
soaking
paronychia
