不同换药方式应用于耳前瘘管感染脓肿切开术患者的临床应用效果研究

发布时间：2018-10-12 18:25

【摘要】：目的为探究临床针对于耳前瘘管感染脓肿切开术患者有效的换药方式,以便为耳前瘘管感染脓肿切开术患者的术后换药处理提供参考和借鉴依据。方法选取医院耳科2012年12月-2013年12月收治的先天性耳前瘘管感染脓肿切开术患者138例;根据患者临床换药方式的不同将其分成了研究组(彻底清创排脓换药法)和对照组(切开排脓换药法),每组患者69例;以两组患者临床疗效、不良反应发生率、痊愈时间和治疗费用等为观察指标。结果研究组痊愈率、总有效率分别为55.07%和94.20%,高于对照组33.33%、79.71%,差异有统计学意义(P0.05);研究组感染发生率、红肿发生率和疼痛发生率分别为8.70%、13.04%、10.14%,低于对照组26.09%、39.13%、37.68%,差异均有统计学意义(P0.05);研究组痊愈时间和治疗费用为(9.23±1.93)d和(160.34±10.34)元,少于对照组(14.34±2.98)d、(210.34±22.64)元,差异均有统计学意义(P0.05)。结论给予耳前瘘管感染脓肿切开术患者彻底清创排脓换药方式的临床优势明显,患者的治疗效果更好、术后不良反应发生率更低,痊愈时间更短,治疗费用更低,是临床实践的理想选择方式之一。
[Abstract]:Objective to explore the effective methods of dressing change for patients with preauricular fistula infection abscess incision, and to provide reference for postoperative dressing change of patients with preauricular fistula infection abscess. Methods 138 patients with congenital preauricular fistula infection abscess were selected from December 2012 to December 2013. The patients were divided into study group (thorough debridement and purulent replacement method) and control group (69 cases in each group) according to their clinical changes. The time of cure and the cost of treatment were the indexes of observation. Results the cure rate of the study group was 55.07% and the total effective rate was 94.20%, which was higher than that of the control group (33.33%, 79.71%, P0.05), the incidence of infection in the study group was significantly higher than that in the control group (P 0.05). The incidence of emphysema and pain were 8.70% and 13.04 卤10.14, respectively, which were lower than that of the control group (26.09 卤39.13 and 37.68, respectively), the recovery time and treatment cost of the study group were (9.23 卤1.93) days and (160.34 卤10.34) yuan, respectively, which were significantly lower than those of the control group (14.34 卤2.98) d, (210.34 卤22.64) (P0.05). Conclusion the clinical advantages of complete debridement and purulent replacement in patients with preauricular fistula infection abscess are obvious, the treatment effect is better, the incidence of postoperative adverse reactions is lower, the recovery time is shorter, and the cost of treatment is lower. It is one of the ideal choices in clinical practice.
【作者单位】：郑州大学附属医院南阳市中心医院耳鼻喉科;
【基金】：河南省科技厅科技发展计划(13B228033)
【分类号】：R764.9

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