耳前瘘管感染脓肿切开术患者不同换药方法的效果比较

发布时间：2018-08-07 20:22

【摘要】：目的观察常规切开排脓换药法与彻底清创排脓换药法对耳前瘘管感染并发脓肿患者临床效果与术后并发症的影响,比较两种换药方案在耳前瘘管感染患者中的应用效果。方法选取2010年9月-2013年8月耳鼻喉科收治的耳前瘘管感染需行脓肿切开的137例患者作为研究对象,以随机数字表法,将所有患者随机分为常规切开排脓换药法组69例(A组)、彻底清创排脓换药法组68例(B组),对比两组患者入院时的年龄、性别、耳别、病程的差异,并于出院时比较其临床疗效及术后不良反应的发生情况。结果两组在年龄、性别、耳别及病程差异无统计学意义,与A组相比B组的临床有效率有所升高,但差异无统计学意义;A组发生红肿、疼痛和切口感染的发生率分别为37.7%、36.2%和23.2%,与之相比,B组不良反应发生率有明显降低,差异有统计学意义(P0.05)。结论彻底清创排脓换药法在一定程度上提高耳前瘘管感染并发脓肿患者的临床疗效,并降低不良反应的发生概率,在患者的恢复和预后方面有独特优势。
[Abstract]:Objective to observe the clinical effect and postoperative complications of routine incision and drainage dressing replacement and thorough debridement in patients with preauricular fistula infection complicated with abscess, and to compare the application effect of the two methods in patients with preauricular fistula infection. Methods from September 2010 to August 2013, 137 patients with preauricular fistula infection who were treated by otolaryngology from September 2010 to August 2013 were selected as study subjects. All the patients were randomly divided into two groups: group A (69 cases), group B (68 cases) with thorough debridement, and group B (68 cases). The difference of age, sex, ear and course of disease between the two groups at admission was compared. At the time of discharge, the clinical efficacy and postoperative adverse reactions were compared. Results there was no significant difference in age, sex, ear type and course of disease between the two groups. The clinical effective rate of group B was higher than that of group A, but the difference was not statistically significant. The incidence of pain and incision infection were 37.7% and 23.2% respectively, compared with B group, the incidence of adverse reactions was significantly lower, the difference was statistically significant (P0.05). Conclusion thorough debridement and abscess replacement method can improve the clinical efficacy of preauricular fistula infection complicated with abscess to a certain extent and reduce the probability of adverse reactions. It has a unique advantage in the recovery and prognosis of the patients.
【作者单位】：滨州市人民医院临床支持科;滨州市优抚医院精神科一病区;滨州市人民医院放射科;滨州医学院附属医院感染性疾病科;
【基金】：山东省自然科学基金资助项目(Y2006C02)
【分类号】：R764.9

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