75%乙醇持续湿敷对局部皮肤软组织感染治疗的效果观察

发布时间：2018-03-30 13:11

本文选题：皮肤软组织　切入点：感染　出处：《中华医院感染学杂志》2014年22期

【摘要】：目的分析75%乙醇持续湿敷在局部皮肤软组织感染治疗中的临床应用,并观察应用效果。方法将2012年10月-2013年3月医院收治的60例局部皮肤软组织感染患者按照挂号顺序分为观察组和对照组,每组各30例;两组患者均使用聚维酮碘溶液对感染部位进行消毒,对照组患者采用常规抗菌药物进行治疗,观察组患者用抗菌药物同时采用75%乙醇持续湿敷感染部位,两组均每日3次,每7d为一个疗程;观察比较两个疗程后两组患者的治疗效果。结果两个疗程治疗后总有效率观察组患者为96.67%、对照组患者为73.33%,两组比较,差异有统计学意义(P0.05);治愈时间观察组为(8.0±4.2)d、对照组为(12.6±3.5)d;不良反应观察组患者无不良反应发生,对照组出现迟发型不良反应6例;两组治疗后局部疼痛及发热好转率比较差异均有统计学意义(P0.05)。结论局部皮肤软组织感染患者,在应用抗菌药物同时采用75%乙醇进行持续湿敷,能够有效提升治疗效果,且无明显不良反应,简单易行,值得在临床中推广。
[Abstract]:Objective to analyze the clinical application of 75% ethanol continuous wet compress in the treatment of local skin and soft tissue infection. Methods from October 2012 to March 2013, 60 patients with local skin and soft tissue infection were divided into observation group and control group, 30 cases in each group. The patients in both groups were disinfected with povidone iodine solution, the patients in the control group were treated with routine antimicrobial agents, and the patients in the observation group were treated with 75% ethanol simultaneously, and the patients in both groups were treated with continuous wet application of 75% ethanol three times a day. Results after two courses of treatment, the total effective rate of the observation group was 96.67 and the control group was 73.33. The curative time was 8.0 卤4.2 days in the observation group and 12.6 卤3.5 days in the control group, and there were no adverse reactions in the observation group and 6 cases in the control group. There were significant differences in the rates of local pain and fever between the two groups after treatment. Conclusion in patients with local skin and soft tissue infection, continuous wet compress with 75% ethanol can effectively improve the therapeutic effect. And no obvious adverse reactions, simple and easy, worthy of clinical promotion.
【作者单位】：丽水市中心医院皮肤科;
【基金】：浙江省中医药管理局基金资助项目(2012ZQ027) 丽水市科技局公益基金资助项目(2012JYZB100)
【分类号】：R751

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