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目的探讨温热生理盐水冲洗液对腹部切口脂肪液化愈合的影响。方法将60例腹部切口脂肪液化的病人随机分为实验组30例,对照组30例。两组均依据湿性愈合理论换药,并应用生理盐水冲洗伤口,实验组使用温热生理盐水,对照组使用常温生理盐水。比较两组患者切口愈合时间,并应用视觉模拟量表评分(visual analogue scale,VAS),评估换药时的疼痛程度。结果使用温热生理盐水组切口愈合时间明显缩短,患者疼痛减轻,和对照组相比较,两组比较差异有统计学意义(P<0.05)。结论温热生理盐水不降低伤口局部温度,能够促进肉芽组织生长,有利于伤口愈合;并且换药时的疼痛程度明显降低。
Objective To investigate the effect of warm saline flush on the healing of fat liquefaction in abdominal incisions. Methods 60 patients with fat liquefaction of abdominal incision were randomly divided into experimental group (30 cases) and control group (30 cases). Both groups changed their dressings according to the wet healing theory and rinsed the wounds with saline. The experimental group used warm saline and the control group used normal temperature saline. The incision healing time was compared between the two groups and the visual analogue scale (VAS) was used to assess the degree of pain during dressing change. Results The use of warm saline group significantly shortened the healing time of the incision and relieved the patient’s pain. Compared with the control group, the difference between the two groups was statistically significant (P<0.05). Conclusions Warm saline does not reduce the local temperature of the wound, it can promote the growth of granulation tissue and is beneficial to wound healing. The degree of pain during dressing change is significantly reduced.