泡沫银联合水凝胶在慢性创面中的治疗效果

The Therapeutic Effects of Silver Foam Combined with Hydrogel in Chronic Wounds

摘要: 目的：探索泡沫银联合水凝胶敷料在慢性创面治疗中的临床疗效。方法：回顾分析自贡市第四人民医院伤口中心2022年1月至2023年10月慢性难愈合创面病人116例，随机分为对照组58例和观察组58例，对照组采用片状水胶体(法国优格系列安普贴10 × 10 cm)联合水凝胶(法国优格系列–清创胶15 g/支)处理伤口，观察组采用泡沫银(墨尼克系列–美皮康银12.2 × 12.5 cm)联合水凝胶(法国优格系列–清创胶15 g/支)。两组采用Bate-Jensen伤口评价工具比较7 d/14 d/21 d观察组创面情况的对比，愈合时间、伤口细菌阳性率、更换敷料时的疼痛评分。结果：在局部清创彻底的情况下，两组采用(BWAT)评分进行7 d/14 d/21 d创面情况对比，观察组的评分明显低于对照组，创面愈合率：观察组明显高于对照组，平均愈合时间观察组为(19.21 ± 2.32)，对照组为(26.32 ± 1.45)，伤口细菌培养阳性率更低，差异具有统计学意义(P < 0.05)。结论：泡沫银联合水凝胶在慢性创面中效果确切，值得临床推广。

Abstract: Objective: To explore the clinical efficacy of silver foam combined with hydrogel dressing in the treatment of chronic wounds. Methods: A retrospective analysis of 116 patients with chronic refractory wounds in the Wound Center of the Fourth People’s Hospital of Zigong City from January 2022 to October 2023 was randomly divided into the control group (58 cases in the control group and 58 cases in the observation group, and the control group was treated with sheet hydrocolloid (France Yogurt series Ample 10 × 10 cm) combined with hydrogel (France Yogurt series - debridement gel 15 g/piece), the observation group was treated with foam silver (Menick series - Mepicon silver 12.2 × 12.5 cm) combined with hydrogel (France Yogurt series - debridement gel 15 g/piece). The two groups were compared with the wound condition of the 7 d/14 d/21 d observation group, the healing time, the positive rate of wound bacteria, and the pain score during dressing change using the Bate-Jensen wound evaluation tool. Results: In the case of thorough local debridement, the two groups were compared with the 7 d/14 d/21 d wound with BWAT score, and the score of the observation group was significantly lower than that of the control group, and the wound healing rate was significantly higher than that of the control group, and the average healing time was (19.21 ± 2.32) in the observation group and (26.32 ± 1.45) in the control group, and the positive rate of wound bacterial culture was lower, and the difference was statistically significant (P < 0.05). Conclusion: Foam silver combined with hydrogel is effective in chronic wounds and deserves clinical promotion.