目的：探讨研究不同敷料对热带地区慢性伤口患者的临床疗效。方法选取琼海市人民医院2013年1月~2014年9月患有慢性伤口的患者120例，分为观察组(60例)与对照组(60例)，观察组患者采用湿性敷料进行治疗，对照组患者采用干性敷料进行治疗。比较两组患者慢性伤口的治疗效果。结果在治疗第20天与第30天，观察组患者创口面积愈合率分别为(36.80±7.02)%、(61.70±16.87)%，明显高于对照组[(23.40±8.14)%、(42.90±15.09)%]，差异有统计学意义(P<0.05)。观察组患者在换药时0、Ⅰ、Ⅱ、Ⅲ级的疼痛率分别为63.3%、23.3%、8.3%及5.0%，明显优于对照组(25.0%、35.0%、23.3%、16.7%)，差异有统计学意义(P<0.05)。观察组患者的换药时间[(50.3±18.5)d]、换药费用[(305.4±70.2)元]及2次创伤积分[(1.10±0.21)分]均明显低于对照组[(65.4±23.1)d、(418.8±78.0)元、(1.27±0.29)分]，差异有统计学意义(P<0.05)。结论湿性敷料能够促进患者创口愈合，减轻创口疼痛，减缓创口渗血，同时减少创口2次创伤与感染的机会，值得在临床上推广使用。%Objective To investigate clinical efficacy of different surgical dressing in treatment of chronic wounds in the tropics. Methods From January 2013 to September 2014, in People's Hospital of Qionghai City, 120 patients with chronic wounds were selected and divided into observed group (60 cases) and control group (60 cases). Patients in ob-served group were given the treatment of wet dressing, while patients in control group were given the treatment of dry dressing. The therapeutic effect of the two groups was compared. Results At the 20th day and 30th day of treatment, the area of wound healing rates in observed group were (36.80±7.02) % and (61.70±16.87)%, which were significantly higher than those of the control group [(23.40±8.14)%, (42.90±15.09)%], the differences were statistically significant (P<0.05). The rates of 0,Ⅰ,II,Ⅲgrade of pain in observed group were 63.3%, 23.3%, 8.3%and 5.0%, which were bet-ter than those of the control group (25.0%, 35.0%, 23.3%, 16.7%), the differences were statistically significant (P<0.05). The dressing time [(50.3±18.5) d], dressing costs [(305.4±70.2) yuan] and 2 trauma integral [(1.10±0.21) scores] in ob-served group were significantly lower than those of control group [(65.4±23.1)d, (418.8±78.0) yuan, (1.27±0.29) scores], the differences were statistically significant (P< 0.05). Conclusion Wet dressing can promote wound healing, reduce wound pain, ease wound bleeding, and reduce the opportunity of infection and 2 trauma integral. It is worthy of promo-tion in clinic.
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