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目的研究壳聚糖宫颈抗菌膜在宫颈物理治疗术后对创面愈合的治疗作用及安全性。方法将334例宫颈微波术患者和258例宫颈环形电切术患者均分为两组,实验组和对照组。两实验组术后给予壳聚糖宫颈抗菌膜治疗。对照组不使用壳聚糖官颈抗菌膜。观察各实验组和对照组阴道流液量、分泌物性状、持续时间及创面愈合时间,并综合评分。结果两实验组术后综合评分均明显优于两对照组,差异有统计学意义(均P<0.05);创面愈合时间均短于对照组,差异有统计学意义(P<0.05)。两实验组无不良反应发生,无并发症发生。两对照组共有14例继发感染,6例大出血,10例肉芽增生。结论壳聚糖宫颈抗菌膜能减轻宫颈物理治疗术后阴道流液等症状,改善术后生活质量,缩短创面愈合时间,促进宫颈物理治疗后宫颈创面的愈合。
Objective To study the therapeutic effect and safety of chitosan cervical antibacterial film on wound healing after cervical physical therapy. Methods 334 cases of cervical microwave surgery and 258 cases of cervical ring resection were divided into two groups, the experimental group and the control group. Two experimental groups were treated with chitosan cervical antibacterial membrane. The control group did not use chitosan neck antimicrobial membrane. Vaginal fluid volume, secretions traits, duration and wound healing time of each experimental group and control group were observed and scored. Results The postoperative comprehensive scores of two experimental groups were significantly better than those of the two control groups (all P <0.05). The wound healing time was shorter than that of the control group (P <0.05). Two experimental groups no adverse reactions, no complications. There were 14 cases of secondary infection in the two control groups, 6 cases of hemorrhage and 10 cases of granulation. Conclusion Chitosan cervical antibacterial film can relieve vaginal fluid after cervical physical therapy and other symptoms, improve postoperative quality of life, shorten the wound healing time, and promote cervical wound healing after physical therapy.