摘要
目的 观察含银水胶敷料联合藻酸盐敷料在艾滋病合并肛周疾病患者术后伤口护理中的有效性和安全性。方法 选取艾滋病合并肛周疾病手术患者,采取随机对照的方法将所有患者分为观察组(O组)和对照组(C组)。O组患者采用含银水胶体敷料联合藻酸盐填充术后伤口,而C组患者采用凡士林纱布填充术后伤口。对比两组患者在术后的换药频次、换药时患者表现出的疼痛水平、换药后渗出液开始明显减少的时间、伤口基本痊愈的时间、术后住院时间及患者的满意程度,比较各亚组术后并发症发生情况。结果 相比C组患者,O组患者在手术后的换药频次明显减少[(9±2)次vs.(15±4)次;t=9.783,P<0.001],换药疼痛评分明显降低[前3天(5±1)分vs.(7±1)分;t=10.190,P<0.001;三天后(3±1)分vs.(5±1)分;t=9.149,P<0.001],渗出液开始明显减少时间明显缩短[(2±1)天vs.(7±4)天;t=8.893,P<0.001],伤口基本愈合时间缩短[(18±3)天vs.(29±8)天;t=9.417,P<0.001],住院时间均明显缩短[(4±1)天vs.(9±5)天;t=7.197,P<0.001]。O组CD4细胞≥200个/μL患者的切口感染率为0、总并发症发生率为17%,均低于C组患者(χ^(2)=6.090,P=0.014;χ^(2)=4.079,P=0.043)。C组CD4细胞≥200个/μL患者的切口感染率为19%,低于<200个/μL患者的35%(χ^(2)=4.780,P=0.029)。O组患者对术后换药的满意度为98%,高于C组的88%(χ^(2)=4.259,P=0.039)。结论 含银水胶体敷料联合藻酸盐应用于艾滋病合并肛周疾病患者术后伤口换药中是有效和安全的,且具有减轻患者疼痛、促进伤口愈合、减少术后切口感染和提高满意度等优点。
Objective To observe the efficacy and safety of silver-containing hydrocolloid dressing combined with alginate dressing in postoperative wound care of people living with HIV(PLWH) with perianal diseases. Methods PLWH with perianal disease were randomly divided into observation group(group O) and control group(group C).PLWHs in the Group O received silver-containing hydrocolloid dressing combined with alginate to fill the postoperative wound, while PLWH in the group C received Vaseline gauze to fill the postoperative wound. The frequency of postoperative dressing change, pain level during dressing change, time for exudate to start significantly reduced after dressing change, time for basic wound recovery, postoperative hospital stay, and patient satisfaction were compared between the two groups. The incidence of postoperative complications was compared between the subgroups. Results Compared to PLWH in group C, those in group O had significantly reduced frequency of dressing change after surgery[(9±2) times vs.(15±4) times;t=9.783, P < 0.001], lower dressing change pain score [(5±1) points in the first 3 days vs.(7±1) points, t=10.190, P<0.001;(3±1) points after three days vs.(5±1) points, t=9.149, P<0.001], shorter duration/lower level of exudate [(2±1) days vs.(7±4) days, t=8.893, P<0.001], shorter time of basic wound healing [(18±3) days vs.(29±8) days, t=9.417, P<0.001], and shortening duration of hospital stay [(4±1) days vs.(9±5) days, t=7.197, P<0.001]. The incision infection rate of PLWH with CD4cells ≥200 cells/μL in group O was 0, and the total complication rate was 17%, which were lower than those in group C(χ^(2)=6.090, P=0.014;χ^(2)= 4.079, P=0.043). In group C, the incision infection rate was 19% among PLWH with CD4 cells ≥ 200 cells/μL, which was lower than in PLWH with CD4 cells < 200 cells/μL(35%, χ^(2)=4.780, P=0.029). 98% of PWLH in group O were satisfied with postoperative dressing change, which was higher than those in group C(88%, χ^(2)=4.259, P=0.039). Conclusion Silve
作者
贺遵芳
何仁亮
吴海萍
刘民强
宗华
HE Zunfang;HE Renliang;WU Haiping;LIU Minqiang;ZONG Hua(Operating room,Shenzhen Third People's Hospital,Shenzhen 518112,Guangdong,China;Department of Anesthesiology,Shenzhen Third People's Hospital,Shenzhen 518112,Guangdong,China;Department of gastrointestinal surgery,Shenzhen Third People's Hospital,Shenzhen 518112,Guangdong,China)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2022年第10期1136-1139,共4页
Chinese Journal of Aids & STD
基金
广东省深圳市科技计划项目(JCYJ20190809112811364)。
关键词
含银水胶敷料
藻酸盐
艾滋病
肛周疾病
Silver-containing hydrogel dressing
alginate
AIDS
perianal disease
