摘要
目的比较银离子敷料和杀菌纱布在下肢静脉性溃疡患者中的应用效果。方法选取2014年5月~2016年12月重庆医科大学附属第一医院门诊收治的下肢静脉性溃疡患者120例,按照随机数字法分为对照组和观察组,每组各60例。对照组采用杀菌纱布治疗,观察组采用银离子敷料治疗,比较两组患者疼痛程度、溃疡面积缩小率、周围皮肤浸渍率及医疗费用。结果治疗前两组患者视觉模拟量表(VAS)评分比较,差异无统计学意义(P>0.05),治疗后7、15、21 d及30 d观察组VAS评分均低于对照组(P<0.05)。治疗后10、20 d及30 d观察组溃疡面积缩小率均高于对照组(P<0.05)。治疗前两组患者周围皮肤浸渍率比较,差异无统计学意义(P>0.05),治疗后10、20 d及30 d观察组周围皮肤浸渍率均低于对照组(P<0.05)。观察组医疗费用低于对照组(P<0.05).结论银离子敷料治疗下肢静脉性溃疡的效果优于杀菌纱布,有助于减轻患者疼痛,缩小溃疡面积,降低住院费用,值得推广应用。
Objective To compare the clinical effect of silver ion dressing and antiseptic gauze in patients with venous leg ulceration. Methods A total of 120 cases of patients with venous leg ulceration from May 2014 to December 2016 treated in Outpatient Department, the First Affiliated Hospital of Chongqing Medical University were selected and divided into the control group and the observation group by random number table, with 60 cases in each group. The con- trol group was treated with antiseptic gauze and the observation group was treated with silver ion dressing. The degree of pain, the reduction rate of ulcer area, the skin around the impregnation rate and medical expenses were compared between the two groups. Results Before treatment, there was no statistically significant difference in the score of VAS between the two groups （P 〉 0.05）, after treatment of 7, 15, 21 d and 30 d, the score of VAS in the observation group were all lower than that of control group （P 〈 0.05）. After treatment of 10 d, 20 d and 30 d, the reduction rate of ulcer area in the observation group were all lower than that of control group （P 〈 0.05）. Before treatment, there was no statistically significant difference in the skin around the impregnation rate （P 〉 0.05）, after treatment of 10, 20 d and 30 d, the impregnation rate of skin around in the observation group was all lower than those of control group （ P 〈 0.05）. The medical expenses in the observation group was lower than that of control group （P 〈 0.05）. Conclusion The effect of silver ion dressing in the treatment of venous leg ulceration is better than antiseptic gauze. It can reduce the pain level, narrow down the ulcer area, reduce the medical expenses. It is worthy of promotion and application.
出处
《中国医药导报》
CAS
2017年第32期97-99,共3页
China Medical Herald
基金
重庆医科大学附属第一医院基金项目(HLJJ2013-03)
关键词
银离子敷料
杀菌纱布
下肢静脉性溃疡
临床效果
Silver ion dressing
Antiseptic gauze
Lower extremity ulceration
Clinical effect
