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- Title
两种抗菌银敷料在伤口细菌生物膜感染 中的应用效果与成本效益分析.
- Authors
耿翡; 曹松梅; 柏素萍; 封蔓; 贾莹莹; 秦洁
- Abstract
Objective:To compare the effect and the cost-effectiveness of two antibacterial silver dressings on infection of wound bacterial biofilm. Methods:A total of 70 chronic wound patients with bacterial biofilm infection who visited the wound clinic from August 2019 to October 2020 were selected and randomly divided into experimental group and control group, with 35 cases in each group. On the basis of wet therapy, sodium silver dressing of hydroxymethyl cellulose was used in the experimental group and silver ion alginate antibacterial dressing was used in the control group. Both groups were treated for 28 days. The wound area reduction rate, PUSH score, the number of clinical indicators of wound bacterial biofilm, dressing change times, treatment cost-effectiveness ratio and incremental cost-effectiveness ratio were compared between the two groups. Results:One patient in the experimental group and two in the control group quit. There were statistically significant differences in wound area reduction rate and PUSH score between the experimental group and the control group at 14 and 28 days after treatment(P<0. 05). After 28 days of treatment, the total number of clinical identification indicators of wound bacterial biofilm in the experimental group was less than that in the control group(P<0. 05), and the wound in the control group needed 105. 02 yuan more for each 1 cm2 more than that in the experimental group. Conclusions:The two antibacterial silver dressings had certain effects on the treatment of chronic wounds. Compared with the silver ion alginate antibacterial dressing, the effect of sodium hydroxymethyl cellulose silver dressing was better and more cost-effective.
- Subjects
BACTERIAL disease treatment; WOUND healing; TRAUMATOLOGY diagnosis; CHRONIC wounds &; injuries; SILVER compounds; KEY performance indicators (Management); WOUND infections; MEDICAL care costs; BIOFILMS; TREATMENT effectiveness; RANDOMIZED controlled trials; COMPARATIVE studies; ANTIMICROBIAL bandages; COST effectiveness; DESCRIPTIVE statistics; CLINICAL medicine; STATISTICAL sampling; SURGICAL dressings; EVALUATION
- Publication
Chinese Nursing Research, 2022, Vol 36, Issue 1, p44
- ISSN
1009-6493
- Publication type
Article
- DOI
10.12102/j.issn.1009-6493.2022.01.008