摘要
目的探讨安柯信银离子抗菌凝胶治疗慢性难愈性创面的临床作用。方法选取我院2014年1月~2015年1月收治入院的60例各类病因造成的慢性难愈性创面患者作为研究对象,根据处理方法不同分为实验组和对照组,各30例。两组创面均进行少量多次的清创处理,实验组采用安柯信银离子抗菌凝胶敷创面加纱布块包扎,对照组仅以碘伏凡士林纱布包扎。观察两组的疼痛评分、创面愈合率、创面愈合时间、换药后残余创面分泌物细菌培养阳性率及不良反应发生情况。结果实验组的疼痛评分显著低于对照组,创面愈合率显著高于对照组,创面愈合时间显著短于对照组,差异有统计学意义(P<0.05)。实验组第7、14天换药后残余创面的分泌物细菌培养阳性率均显著低于对照组,差异有统计学意义(P<0.05)。两组均无明显不良反应发生。结论安柯信银离子抗菌凝胶能够有效促进软组织缺损修复,缩短慢性难愈性创面的愈合时间。
Objective To investigate the clinical effect of Anscon Silver Ion Antibacterial Gel in the treatment of chronic refractory wounds.Methods Altogether 60 patients with chronic refractory wounds who were caused by various etiologies and treated in our hospital from January 2014 to January 2015 were selected as the object of this research and divided into the experiment group and the control group according to the different treatment methods,with 30 cases in each group.Wound debridement treatment was applied frequently with a small amount for each time in the two groups.The experiment group was applied with Anscon Silver Ion Antibacterial Gel and then wrapped up with a piece of gauze bandage,while the control group was w rapped only with Iodophor Vaseline gauze.The pain score,wound healing rate,wound healing time,the positive rate of bacterial culture of residual wound secretion and the incidence rate of adverse reactions after changed dressing were observed in the two groups.Results The pain score of the experimental group was significantly lower than that of the control group,the wound healing rate of the experimental group was significantly higher than that of the control group,the wound healing time of the experimental group was significantly shorter than that of the control group,with significant difference（P〈0.05）.The positive rate of bacterial culture of the residual wounds secretion after 7thand 14 thdays in the experimental group was significantly lower than that in the control group,with significant difference（P〈0.05）.There was no obvious adverse reaction in the two groups.Conclusion Anscon Silver Ion Antibacterial Gel can effectively promote the repair of soft tissue defect and shorten the healing time of chronic refractory wounds.
出处
《中国当代医药》
2017年第4期138-140,共3页
China Modern Medicine
关键词
安柯信银离子抗菌凝胶
慢性难愈性创面
疗效
Anscon Silver Ion Antibacterial Gel
Chronic refractory wound
Efficacy
