摘要
目的：观察多爱肤联合爱康肤银敷料治疗睑黄瘤激光术后创面的临床效果。方法选择睑黄瘤激光术后患者114例，随机分为3组，均按相同方法清洗创面，根据创面情况按需换药。观察组（n＝39）创面内敷料为爱康肤银，外敷料为多爱肤敷料，待渗液减少后粘贴多爱肤敷料；对照1组（n＝37）创面单纯敷盖多爱肤敷料；对照2组（ n＝38）创面采用传统换药法，用无菌纱布覆盖，保持清洁干燥。比较3组患者创面肉芽生长时间、治愈时间、瘢痕增生及治愈率情况。结果观察组患者创面肉芽生长时间（5．35±2．18）d，愈合时间（11．15±2．24）d，均优于对照组，差异有统计学意义（F值分别为9．000，5.717；P＜0．05）；观察组患者无一例瘢痕增生，治愈率为100％，均优于对照组，差异有统计学意义（χ2值分别为13．515，21．351；P＜0．01）。结论多爱肤联合爱康肤银敷料治疗睑黄瘤激光术后创面的临床效果优于单纯多爱肤敷料和传统纱布换药，值得临床推广应用。
Objective To observe the clinical effect of DuoDERM combined with AquacelAg dressing on the wound after the xanthelasma palpebrarum treatment with laser surgery .Methods One hundred and fourteen patients after the xanthelasma palpebrarum treatment with laser surgery were chosen and were randomly divided into three groups .All patients received the clean of wound surface using the same method , and dressing change according to the wound .The observation group （ n =39 ） received the DuoDERM combined with AquacelAg dressing on the wound , and the control group Ⅰ（ n=37 ） received the DuoDERM dressing alone , and the control group Ⅱ（ n=38 ） received the traditional gauze dressing change that was sterile gauze to cover wound surface ,keep clean and dry .The growth time of granulation on the wound , the healing time , the scar hyperplasia and the cure rate were compared among three groups .Results The growth time of granulation on the wound and the healing time were respectively （5.35 ±2.18） d, （11.15 ±2.24） d in the observation group, and were better than those of the control group , and the differences were statistically significant （ F=9.000, 5.717, respectively;P〈0.05）.The cases of scar hyperplasia and the cure rate were respectively 0 cases and 100%in the observation group , and were better than those of control group , and the differences were statistically significant （χ2 =13.515,21.351, respectively; P〈0.01）.Conclusions The clinical effect of DuoDERM combined with AquacelAg dressing on the wound after the xanthelasma palpebrarum treatment with laser surgery is better than the DuoDERM dressing and the traditional gauze dressing change alone , and is worthy of clinical promotion.
出处
《中华现代护理杂志》
2014年第19期2438-2440,共3页
Chinese Journal of Modern Nursing
关键词
睑黄瘤
点阵激光
多爱肤
爱康肤银
术后创面
Xanthelasma palpebrarum
Fractional laser
DuoDERM
AquacelAg
Wound after surgery
