密闭湿性敷料、凡士林纱布在供皮区应用效果的研究

目的比较密闭湿性敷料、凡士林纱布在皮片供皮区的应用效果。方法将手术治疗的60例供皮区创面(大腿外侧)患者随机分为湿性敷料组(30例)和凡士林纱布组(30例),比较2组方法对患者皮片供区的疼痛程度、渗出情况、愈合时间及切口的瘢痕程度的影响。结果湿性敷料组第4、7、10天患者疼痛程度较凡士林纱布组轻,差异有统计学意义(P0.05);但术后15 d后疼痛程度比较差异无统计学意义(P0.05)。湿性敷料组创面敷料渗出明显少于凡士林纱布组,创面愈合时间短于凡士林纱布组,色素沉着及瘢痕的比例低于凡士林纱布组,差异均有统计学意义(P0.05)。结论密闭湿性敷料运用于供皮区能够减轻患者早期术后疼痛,减少创面渗出,缩短愈合时间,减少色素沉着和瘢痕增生。

Effect of closed wet dressing and vaseline gauze applied in donor site

Objective To compare the effect of closed wet dressing and vaseline gauze applied in donor site.Methods A total of 60 patients with donor site wound (lateral thigh) underwent surgery were divided into wet dressing group (30 cases) and vaseline gauze group (30 cases),and the pain degree of donor area,exudation,healing time and incision scar were compared.Results Pain degree at 4,7 and 10 days after operation in wet dressing group was lighter than that of vaseline gauze group,the difference was statistically significant (P ＜ 0.05);but pain at 15 d showed no statistically significant difference (P ＞ 0.05).Exudate in wet dressing group was obviously less,wound healing time was shorter,and scar as well as pigmentation ratio was lower than that in vaseline gauze group,and the differences were statistically significant (P ＜ 0.05).Conclusion Application of closed wet dressing in the donor site can relieve the pain of patients with early postoperative pain,reduce the leakage of the wound,shorten the healing time,and has less pigmentation and scar hyperplasia.