【摘要】：目的:了解甲溝炎患者部分甲拔除術(shù)后應(yīng)用高滲鹽水干預(yù)的療效,探討甲溝炎患者部分拔甲術(shù)后最佳處理方法。方法:將2014.4-2014.11在南昌大學(xué)第一附屬醫(yī)院門診就診的符合納入標準的甲溝炎患者168例,分別在部分拔甲術(shù)后應(yīng)用凡士林紗布換藥(處理A)、10%Nacl紗布換藥(處理B)、2%~3%Nacl溶液浸泡(處理C)以及4%~5%Nacl溶液浸泡(處理D)4種方法處理。在進行處理后對創(chuàng)面干燥時間、創(chuàng)面紅腫消退時間、創(chuàng)面愈合時間、患者第一次換藥疼痛評分、治療方法滿意度評分、換藥次數(shù)、復(fù)發(fā)率進行比較觀察。結(jié)果:①術(shù)后創(chuàng)面干燥時間:A組與C組、A組與D組、B組與C組、B組與D組差異有統(tǒng)計學(xué)意義(P0.01);②術(shù)后創(chuàng)面紅腫消退時間:A組與B組、A組與C組、A組與D組、B組與D組差異有統(tǒng)計學(xué)意義(P0.01),B組與C組、C組與D組差異均有統(tǒng)計學(xué)意義(P0.05);③術(shù)后創(chuàng)面愈合時間:A組與C組、A組與D組、B組與C組、B組與D組差異有統(tǒng)計學(xué)意義(P0.01);④首次換藥疼痛評分:A組與C組、A組與D組、B組與C組、B組與D組差異有統(tǒng)計學(xué)意義(P0.01);⑤治療方法滿意度評分:A組與C組、A組與D組、B組與C組、B組與D組差異有統(tǒng)計學(xué)意義(P0.01);⑥復(fù)發(fā)率:四組患者復(fù)發(fā)率無統(tǒng)計學(xué)差異(P0.05);⑦A組與B組換藥次數(shù)差異有統(tǒng)計學(xué)意義(P0.01)。結(jié)論:在甲溝炎患者部分拔甲術(shù)后采用10%Nacl紗布換藥較凡士林換藥能減少患者的換藥次數(shù)。在甲溝炎患者部分拔甲術(shù)后配合使用2%~3%及4%~5%Nacl浸泡較換藥法可縮短創(chuàng)面干燥及紅腫消退時間,促進創(chuàng)面愈合,減輕患者首次換藥時的疼痛程度,療效更好。4%~5%Nacl在減短創(chuàng)面紅腫消退時間方面療效最好。
[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.
【學(xué)位授予單位】：南昌大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R632.7

【參考文獻】

相關(guān)期刊論文 前10條

1 吳淑芳;黃招蘭;;10%高滲鹽水局部浸泡治療甲溝炎的療效觀察及護理[J];護士進修雜志;2015年08期

2 胡曉群;徐平;;甲溝炎45例的治療效果分析[J];中國社區(qū)醫(yī)師;2014年32期

3 李正;宋維芳;;3種方法治療嵌甲性甲溝炎的療效比較[J];臨床軍醫(yī)雜志;2014年08期

4 胡啟翔;孫英杰;郝朝輝;;嵌甲性甲溝炎的治療[J];中國美容醫(yī)學(xué);2013年24期

5 黃之抗;莊炯宇;蔡家驥;;改良式部分拔甲術(shù)在嵌甲型甲溝炎急診治療中的應(yīng)用[J];現(xiàn)代臨床醫(yī)學(xué);2013年06期

6 楊瓔力;王春梅;肖開芝;潘倩;馬登艷;;腎移植術(shù)后切口并發(fā)金黃色葡萄球菌感染護理一例[J];華西醫(yī)學(xué);2013年12期

7 朱玲玲;吳秀榮;;紅霉素軟膏對趾擠壓傷拔甲后創(chuàng)面換藥觀察[J];中國現(xiàn)代藥物應(yīng)用;2013年23期

8 胡鐘旭;;DIOMED-30半導(dǎo)體激光治療嵌甲型甲溝炎[J];廣東醫(yī)學(xué);2013年23期

9 楊冬梅;秦淑君;;磺胺嘧啶銀脂質(zhì)水膠敷料用于炎性傷口的效果觀察[J];交通醫(yī)學(xué);2013年05期

10 孫政堯;孫政勤;林梅;戴學(xué)國;;268例甲溝炎患者分期治療的臨床分析[J];中國醫(yī)藥指南;2013年26期

相關(guān)會議論文 前3條

1 朱玉芳;周桂花;王瑩瑩;;優(yōu)拓SSD抗菌敷料用于拔甲后創(chuàng)面換藥的療效觀察[A];2012年安徽省科協(xié)年會省護理學(xué)會分會場安徽省護理學(xué)會護理專業(yè)化發(fā)展暨學(xué)術(shù)年會論文匯編[C];2012年

2 顧根梅;谷鳳珍;;拔甲術(shù)后的換藥體會[A];全國外科、神經(jīng)內(nèi)外科護理學(xué)術(shù)交流暨專題講座會議論文匯編[C];2007年

3 胡文予;陳德容;;隨機對照研究高滲鹽水與聚維酮碘在包皮環(huán)切術(shù)后護理中的作用[A];全國第十屆手術(shù)室護理學(xué)術(shù)交流暨專題講座會議論文匯編（上）[C];2006年

，

本文編號：2310130