藻酸盐敷料治疗腹部切口脂肪液化的临床研究

目的 探讨应用藻酸盐敷料治疗腹部手术切口脂肪液化的疗效. 方法选择我院腹部手术切口脂肪液化患者76例,分为实验组42例和对照组34例,2组均给予预防性抗生素治疗.观察2组治疗不同阶段敷料渗液量、换药次数、换药时间、愈合费用、切口感染、Ⅱ期愈合、渗液管理显效时间、愈合时间等各项指标.进行χ2检验和t检验.结果 2组间愈合费用比较无显著差异,实验组治疗后其他各项指标显著优于对照组.结论 使用藻酸盐敷料有利于腹部脂肪液化切口渗液及伤口床的管理,能显著缩短患者的切口愈合时间和住院时间.

Clinical research in application of alginate dressing in fat liquefaction of abdominal incision

Objective To assess the efficacy of alginate dressing in fat liquefaction of abdominal incision. Methods 76 patients with fat liquefaction of abdominal incision in our hospital were divided into the experimental group (42 patients) and the control group(34 cases). Both groups were given preventive antibiotics. The penetration, times of dressing change, interval of dressing change, healing cost, wound infection, period Ⅱ wound healing, time for the medicine to start working, time of healing were observed in the two groups. All results underwent t test and χ2 test. Results No distinct difference of healing cost between the two groups was observed. The experimental group treated with alginate dressing was better than the control group in other clinical indexes after treatment. Conclusions Application of alginate dressing is beneficial to management of fat liquefaction of abdominal incision and reduce time of healing and hospital stay.