湿性敷料联合活性银离子抗菌液治疗小阴唇整形术后感染的疗效研究

发布时间：2018-06-15 09:01

本文选题：湿性敷料 + 活性银离子(银尔洁)抗菌液　；参考：《中华医院感染学杂志》2017年14期

【摘要】：目的探讨湿性敷料与活性银离子抗菌液(银尔洁)联合使用在小阴唇整形术后感染中的预防和治疗效果,并分析对比采用传统的高锰酸钾溶液在小阴唇整形术后冲洗会阴部预防术后感染的治疗效果。方法选取医院2015年1月-2016年5月收治的60例小阴唇整形术的患者,分为观察组和对照组,各30例;观察组采用湿性敷料外敷与活性银离子抗菌液(银尔洁抗菌液)冲洗填塞联合使用于小阴唇整形术后预防感染;对照组在小阴唇整形术后采用传统的高锰酸钾溶液冲洗会阴预防术后感染;比较两组患者术后的切口肿胀程度、疼痛程度、切口感染、切口愈合时间以及切口愈合率。结果观察组术后切口肿胀9例,对照组术后切口肿胀18例;观察组术后切口疼痛7例,对照组术后切口疼痛17例;观察组术后切口感染的发生1例,对照组术后切口感染4例:观察组术后切口愈合时间平均为3.81天,对照组术后切口愈合时间平均为6.12天;观察组术后切口愈合率为96.7%,对照组术后切口愈合率为86.7%;以上数据两组之间比较差异均有统计学意义(P0.05),并达到预期的治疗结果。结论采用湿性敷料与银尔洁联合预防术后感染的治疗效果明显优于高锰酸钾溶液在小阴唇整形术后冲洗会阴部预防术后感染的治疗效果。
[Abstract]:Objective to investigate the effect of the combined use of wet dressing and active silver ion antibacterial solution (Yin Erjie) in the prevention and treatment of infection after the operation of labia labia, and to analyze and compare the effect of traditional Potassium Permanganate solution in the treatment of perineal infection after the operation of labia labium after plastic surgery. Methods the hospital was collected in May -2016 January 2015. The 60 cases of labia labia plastic surgery were divided into the observation group and the control group, each with 30 cases. The observation group was treated with wet dressing external application and active silver ion antibacterial liquid (silver cleaning antibacterial liquid) flushing and filling combined with the labia labia plastic surgery to prevent infection. The control group used traditional Potassium Permanganate solution to rinse perineum after the small labia labia operation. Prevention of postoperative infection; compared two groups of patients with postoperative swelling degree of incision, pain degree, incision infection, incision healing time and incision healing rate. Results the observation group postoperative incision swelling in 9 cases, control group postoperative incision swelling in 18 cases, postoperative incision pain in the observation group 7 cases, postoperative incision pain in the control group 17 cases; observation group postoperative infection of incisional infection hair There were 1 cases of birth and 4 cases of postoperative incision infection in the control group: the average incision healing time of the observation group was 3.81 days, the average of the incision healing was 6.12 days in the control group, the healing rate of the incision in the observation group was 96.7% and the healing rate of the control group was 86.7%, and the difference of the above data between the two groups had statistical significance (P0.05) and reached the expectation. Conclusion the effect of the combination of wet dressing and silprop in the prevention of postoperative infection is obviously better than that of Potassium Permanganate solution in the treatment of perineal infection after small labia labia plastic surgery.
【作者单位】：杭州市第一人民医院整形科;
【基金】：浙江省卫生厅一般项目基金资助项目(2011KYB061)
【分类号】：R622

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