高渗盐水配合部分拔甲术治疗甲沟炎的疗效评价

发布时间：2018-11-04 14:40

【摘要】：目的:了解甲沟炎患者部分甲拔除术后应用高渗盐水干预的疗效,探讨甲沟炎患者部分拔甲术后最佳处理方法。方法:将2014.4-2014.11在南昌大学第一附属医院门诊就诊的符合纳入标准的甲沟炎患者168例,分别在部分拔甲术后应用凡士林纱布换药(处理A)、10%Nacl纱布换药(处理B)、2%~3%Nacl溶液浸泡(处理C)以及4%~5%Nacl溶液浸泡(处理D)4种方法处理。在进行处理后对创面干燥时间、创面红肿消退时间、创面愈合时间、患者第一次换药疼痛评分、治疗方法满意度评分、换药次数、复发率进行比较观察。结果:①术后创面干燥时间:A组与C组、A组与D组、B组与C组、B组与D组差异有统计学意义(P0.01);②术后创面红肿消退时间:A组与B组、A组与C组、A组与D组、B组与D组差异有统计学意义(P0.01),B组与C组、C组与D组差异均有统计学意义(P0.05);③术后创面愈合时间:A组与C组、A组与D组、B组与C组、B组与D组差异有统计学意义(P0.01);④首次换药疼痛评分:A组与C组、A组与D组、B组与C组、B组与D组差异有统计学意义(P0.01);⑤治疗方法满意度评分:A组与C组、A组与D组、B组与C组、B组与D组差异有统计学意义(P0.01);⑥复发率:四组患者复发率无统计学差异(P0.05);⑦A组与B组换药次数差异有统计学意义(P0.01)。结论:在甲沟炎患者部分拔甲术后采用10%Nacl纱布换药较凡士林换药能减少患者的换药次数。在甲沟炎患者部分拔甲术后配合使用2%~3%及4%~5%Nacl浸泡较换药法可缩短创面干燥及红肿消退时间,促进创面愈合,减轻患者首次换药时的疼痛程度,疗效更好。4%~5%Nacl在减短创面红肿消退时间方面疗效最好。
[Abstract]:Objective: to investigate the effect of hypertonic saline after partial nail extubation in patients with thyroiditis and to explore the best treatment method after partial nail removal in patients with thyroiditis. Methods: 168 patients with thyroiditis who were admitted to the outpatient clinic of the first affiliated Hospital of Nanchang University from April to November 2014 were treated with vaseline gauze after partial nail removal. (treatment of A),) 10%Nacl gauze was changed by four methods: soaking in B), 2%~3%Nacl solution (treatment C) and soaking in 4%~5%Nacl solution (treatment D). After treatment, the time of wound drying, the time of redness and swelling regression, the time of wound healing, the score of the first time of dressing change, the score of satisfaction of treatment method, the times of dressing change and the rate of recurrence were compared and observed. Results: 1 postoperative dry time: there were significant differences between group A and C, group A and group D, group B and group C, group B and group D (P0.01). 2the time of redness and swelling regression: there was significant difference between group A and group B, group A and C, group A and group D, group B and group D (P0. 01), B and group C, group C and group D were statistically significant (P0.05); 3 postoperative wound healing time: there was significant difference between group A and C, group A and D, group B and group C, group B and group D (P0.01). (4) pain score of first time dressing change: group A and C, group A and D, group B and C, group B and group D were significantly different (P0.01); 5the scores of satisfaction of treatment methods: group A and C, group A and D, group B and group C, group B and group D, group B and group D were significantly different (P0.01), the recurrence rate of four groups had no statistical difference (P0.05). There was significant difference between group A and group B in the frequency of dressing change (P0.01). Conclusion: 10%Nacl gauze dressing change after partial nail removal in patients with thyroiditis can reduce the times of dressing change compared with vaseline. After partial nail removal in patients with thyroiditis, 3% and 4%~5%Nacl immersion could shorten the time of wound dryness and redness, promote wound healing, and relieve the pain of the first dressing change. 4%~5%Nacl has the best effect in reducing the time of redness and swelling regression.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R632.7

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