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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。
Objective To explore clinical effective for patients with abscess incision before ear fistula dressing modality in order to provide reference and reference for postoperative dressing change in patients with abscess incision fistula infection. Methods One hundred and thirty-eight cases of congenital ear fistula infection and abscess incision admitted from January 2012 to December 2013 in our hospital were divided into study group (radical debridement Dressing method) and control group (cut-off suppurative dressing method), each group of 69 patients; clinical efficacy, incidence of adverse reactions, recovery time and treatment costs as the observation index. Results The cure rate and total effective rate of the study group were 55.07% and 94.20%, respectively, which were significantly higher than those of the control group (33.33% and 79.71%, P <0.05). The incidence of infection, (9.23 ± 1.93, P <0.05). The recovery rate of the study group was 8.70%, 13.04% and 10.14% respectively, which was lower than that of the control group (26.09%, 39.13%, 37.68% d and (160.34 ± 10.34) yuan, less than the control group (14.34 ± 2.98) d, (210.34 ± 22.64) yuan, the difference was statistically significant (P <0.05). Conclusions The patients with abscess infection caused by abscess incision had a clear clinical advantage of complete debridement and dressing change. The treatment effect was better, the incidence of postoperative adverse reactions was lower, the recovery time was shorter, the treatment cost was lower, Is one of the ideal choice for clinical practice.