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

Clinical effects of different dressing approaches on patients undergoing anterior ear fistula infection abscess incision surgery

  • 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(P<0.05);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(P<0.05);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(P<0.05)。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: OBJECTIV To explore the effective drug dressing approaches for patients undergoing anterior ear fistula infection abscess incision surgery so as to provide guidance for postoperative drug dressing for the patients undergoing the anterior ear fistula infection abscess incision surgery. METHODS A total of 138 patients who underwent the anterior ear fistula infection abscess incision surgery in the otology department from Dec 2012 to Dec 2013 were enrolled in the study and divided into the study group (thorough debridement and pus drainage ) and the control group (incision and pus drainage) according to the clinical drug dressing approach, with 69 cases in each group. The clinical efficacy, incidence rate of adverse reactions, healing time, and treatment cost were observed and compared between the two groups of patients. RESULTS The cure rate of the study group was 55.07%, higher than 33.33% of the control group; the total effective rate of the study group was 94.20%, higher than 79.71% of the control group, and there was significant difference (P<0.05). The incidence rates of infection, red swelling, and pain of the study group were respectively 8.70%, 13.04%, and 10.14%, lower than 26.09%, 39.13%, and 37.68% of the control group, and there was significant difference (P<0.05). The healing time of the study group was (9.23±1.93)days, shorter than (14.34±2.98)days of the control group; the treatment cost of the study group was (160.34±10.34) yuan, less than (210.34±22.64)yuan of the control group, and there was significant difference (P<0.05). CONCLUSION The thorough debridement and pus drainage has obvious advantages for the patients undergoing the anterior ear fistula infection abscess incision surgery, and it is one of the ideal approaches for clinical practice owning to the good therapeutic effect, low incidence of postoperative adverse reactions, and little treatment cost.

     

/

返回文章
返回