Objective To explore the outcome of wound healing after bromogeramine hydrotherapy and wound dressing for the postoperative patients in our department of foot and ankle surgery. Methods From April 2005 to April 2010, ninety-six postoperative patients with long-term wound surface drainage impeded, healing problem and infection were treated in our department. Fifty-eight patients were treated with use of bromogeramine hydrotherapy. and 38 patients were treated with use of conventional dressing changing. The wound healing time were compared. Results The mean wound healing time in hydrotherapy group was 9.7 ± 2. 7 d, which was significantly shorter than dressing changing group (12. 6 ± 3. 5 d, P<0. 01). For those patients with wound surface drainage impeded or healing problem, the mean wound healing time in hydrotherapy group was significantly shorter than dressing group (P<0.01). However, the mean healing time of deep infection and osteomyelitis patients reached no significant difference between the two treatment groups (P≥0.05). Conclusions Bromogeramine hydrotherapy is a useful method for those with wound healing problem patients in department of foot and ankle surgery. However, the cases number in the dressing group was smaller than hydrotherapy group, and may influence the results.%目的 探讨新洁尔灭溶液水治疗和普通换药治疗对足踝部术后伤口愈合的影响.方法 2005年4月至2010年4月,共收治足踝部手术后伤口长期引流不畅、不愈合及感染患者96例,其中新洁尔灭溶液水治疗组58例,普通换药治疗组38例.比较两组患者伤口平均愈合时间.结果 水治疗组平均创面愈合时间为9.7±2.7d,普通换药组为12.6±3.5d,差异有显著统计学意义(P＜0.01).水治疗组创面引流不畅及不愈合患者创面愈合时间明显短于普通换药治疗组(P＜0.01),骨髓炎创面和张力性水泡结痂患者创面愈合时间也短于普通换药治疗组,但两组间差异无统计学意义(P≥0.05).结论 新洁尔灭水疗是治疗足踝部手术后伤口不愈合的有效方法,可明显缩短伤口愈合时间.但本研究中普通换药组样本量相对较小,可能对结果产生一定影响.
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