标题：急诊外科清创医用胶黏合术在头面部创口中的应用

      作者：范乔 1，李飞妮 1，李爽 1，张小梅 2，梁娜娜 1    1.西安国际医学中心医院急诊科，陕西 西安 710100；2.空军军医大学第一附属西京医院急诊科，陕西 西安 710032

      卷次： 2022年33卷20期

      【摘要】 目的 探讨急诊外科清创医用胶黏合术在头面部创口中的应用效果。方法 选择西安国际医学中心医院 急诊外科于2020年1~12月期间收治的96例头面部皮肤创伤患者为研究对象，根据随机数表法分为观察组和对照组，每组48例。对照组患者给予常规清创缝合术，观察组患者则在清创后给予医用胶黏合术。比较两组患者的伤口处理时间及疼痛程度[视觉模拟评分(VAS)]，术后7 d创口愈合情况及术后3个月患者对愈合外观的满意度。结果 观察组患者的伤口处理时间为(11.68±3.13) min，明显少于对照组的(14.46±4.02) min，且观察组患者的VAS评分为(4.28±1.01)分，明显低于对照组的(5.65±1.65)分，差异均有统计学意义(P<0.05)；观察组患者创口愈合甲级率、乙级率及丙级率分别为87.50%、8.33%、4.17%，分别与对照组的91.67%、6.25%、2.08%比较，差异均无统计学意义(P>0.05)；观察组患者的创口愈合满意度为97.92%，明显高于对照组的85.42%，差异有统计学意义(P<0.05)。结论 急诊外科清创医用胶黏合术处理头面部创口可缩短伤口处理时间、减轻疼痛程度，提高愈合满意度。
      【关键词】 外科清创；医用胶；头面部创伤；愈合；满意度
      【中图分类号】 R605.97 【文献标识码】 A 【文章编号】 1003—6350（2022）20—2632—03

Application of emergency surgical debridement and medical adhesive bonding in craniofacial wounds.
FAN Qiao 1,LI Fei-Ni 1, LI Shuang 1, ZHANG Xiao-mei 2, LIANG Na-na 1. 1. Department of Emergency, Xi'an International MedicalCenter Hospital, Xi'an 710100, Shaanxi, CHINA; 2. Department of Emergency, Xijing Hospital, First Affiliated Air ForceMilitary Medical University, Xi'an 710032, Shaanxi, CHINA
【Abstract】 Objective To investigate the application effect of emergency surgical debridement and medical ad-hesive bonding in craniofacial wounds. Methods Ninety-six patients with head and face skin trauma treated in Depart-ment of Emergency Surgery, Xi'an International Medical Center Hospital from January 2020 to December 2020 were se-lected as the research objects. According to the random number table method, they were divided into an observationgroup and a control group, with 48 patients in each group. The patients in the control group were treated with routine de-bridement and suture, and the patients in the observation group were treated with medical adhesive after debridement.The wound treatment time and degree of pain [Visual Analogue Scale (VAS)], wound healing at 7 days after operationand satisfaction with wound healing appearance at 3 months after operation were compared between the two groups.Results The wound treatment time in the observation group was (11.68±3.13) min, which was significantly less than(14.46±4.02) min in the control group, and the VAS score of the observation group was (4.28±1.01) points, significantlyless than (5.65±1.65) points of the control group (P<0.05). The wound healing rate of grade A, grade B, and grade C inthe observation group were 87.50%, 8.33%, and 4.17%, respectively, which showed no statistically significant differencewith 91.67%, 6.25%, and 2.08% in the control group (P>0.05). The satisfaction of wound healing in the observationgroup was 97.92%, which was significantly higher than 85.42% in the control group (P<0.05). Conclusion Emergencysurgical debridement and medical adhesive bonding in the treatment of craniofacial wounds can shorten the time ofwound treatment and reduce the degree of pain, and improve the satisfaction of healing.
      【Key words】 Surgical debridement; Medical adhesive; Craniofacial wounds; Heal; Satisfaction