Clinical efficacy of Silveralginate Wound Dressing combined with negative pressure sealing drainage technique inaccelerating the recovery of large woundafteranorectal surgery
LIU Hengliang JIANG Pengjun CHEN Pei SHAO Ming GONG Yingsheng ZHANG Zhuo#br#
Deparment of Anorectal Surgery, Huazhong University of Science and Technology Union Shenzhen Hospital, Guangdong Province, Shenzhen 518052, China
目的 探讨银离子藻酸盐敷料结合负压封闭引流技术在肛肠外科术后大面积伤口康复的临床疗效。方法 选取2018年1月至2021年5月华中科技大学协和深圳医院收治的120 例肛肠外科术后大面积伤口患者作为研究对象,采用电脑随机分组法将其分为观察组与对照组,两组各60 例,观察组采用银离子藻酸盐敷料结合负压封闭引流技术治疗,对照组采用常规清创换药。观察比较两组患者临床疗效、术后伤口疼痛、伤口清创次数、换药次数、愈合时间、不同时期创面愈合率及血清炎症因子等情况。 结果 两组患者的总有效率比较,差异无统计学意义(P>0.05)。观察组术后3、7、14、21 d 的视觉模拟评分法评分低于对照组,差异有统计学意义(P<0.05)。观察组术后3、7、14、21 d 的创面愈合率高于对照组,差异有统计学意义(P<0.05)。观察组清创次数及换药次数少于对照组,差异有统计学意义(P<0.05)。两组患者术后1 d 的白细胞计数(WBC)、超敏C 反应蛋白(hs-CRP)、白介素-6(IL-6)及肿瘤坏死因子-α(TNF-α)水平比较,差异无统计学意义(P>0.05)。两组患者术后7、14 d 的WBC、hs-CRP、IL-6、TNF-α 水平低于术后1 d,术后14 d 的WBC、hs-CRP、IL-6、TNF-α 水平低于术后7 d,观察组患者术后7、14 d 的WBC、hs-CRP、IL-6、TNF-α 水平低于对照组,差异有统计学意义(P<0.05)。 结论 采用银离子藻酸盐敷料结合负压封闭引流技术在加速肛肠外科术后大面积伤口康复的临床疗效确切,能明显减轻患者痛苦、缩短愈合时间,降低炎症因子水平,具有较高的临床应用价值。
To investigate the clinical efficacy of Silveralginate Wound Dressing combined with negative pressure sealing drainage technology in the rehabilitation of large woundafteranorectal surgery. Methods From January 2018 to May 2021, 120 patients with large-area woundsafteranorectal surgery who wereadmitted to the Huazhong University of Science and Technology Union Shenzhen Hospital were selected as the research objects, and they were divided into an observation group and a control group by computer randomization method, with 60 cases in each group. The observation group was treated with Silveralginate Wound Dressing combined with negative pressure sealing drainage technology, and the control group was treated with routine debridementand dressing change. The clinical efficacy, postoperative wound pain, wound debridement times, dressing changes, healing time, wound healing rate in different periodsand serum inflammatory factors were observedand compared between the two groups. Results There was no significant difference in the total effective rate between the two groups (P>0.05). The visual analogue scale score of the observation group was lower than that of the control group on the 3rd, 7th, 14th and 21st day after surgery, with statistical significance(P<0.05). The wound healing rate of the observation group was higher than that of the control group on the 3rd, 7th, 14th and 21st day after operation, and the difference was statistically significant (P<0.05). The frequency of debridementand dressing change in the observation group was less than that in the control group, and the difference was statistically significant (P<0.05). There were no significant difference in the expression levels of white blood cell count(WBC), hypersensitive C-reactive protein (hs-CRP), interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) between the two groups on the 1st day after surgery (P>0.05). The levels of WBC, hs-CRP, IL-6, TNF-α in the two groups on the 7th and 14th day after surgery were lower than those on the 1st day after surgery, and the levels of WBC, hs-CRP,IL-6, TNF-α on the 14th day after surgery were lower than those on the 7th day after surgery, the levels of WBC, hs-CRP, IL-6, TNF-α on the 7th and 14th day after operation were lower than those in the control group, and the differences were statistically significant (P<0.05). Conclusion Silveralginate Wound Dressing combined with negative pressure sealing drainage technology has definite clinical efficacy inaccelerating the rehabilitation of large woundafteranorectal surgery, which can significantly reduce the pain of patients, shorten the healing time, and reduce the level of inflammatory factors. It has high clinical application value.
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