The therapeutic effect of silver ion dressing combined with delayed suturing on puncture wounds caused by dog bites
银离子敷料联合延期缝合治疗狗咬伤致穿刺伤伤口的疗效

摘要

目的 探讨银离子敷料联合延期缝合治疗狗咬伤致穿刺伤伤口的疗效。方法 选取我院2022年6月至2024年6月医院收治的29例狗咬伤致头面部穿刺伤的患者，年龄2～30岁，依照随机数表法分为试验组（n=16例）和对照组（n=13例），对照组给予常规换药联合延期缝合治疗，观察组在对照组基础上加用银离子敷料联合延期缝合治疗，对比两组患者感染发生情况、面部功能评分及瘢痕增生情况。结果 试验组患者术后感染率为12.5%，明显低于对照组患儿的术后感染率38.46%（c²=8.056，P<0.05）。结论 狗咬伤致患者头面部穿刺伤采取银离子敷料联合延期缝合，能够改善面部功能及美观度，降低术后感染率，疗效显著。

Abstract

Objective To investigate the efficacy of silver ion dressing combined with delayed suturing in the treatment of piercing wounds caused by dog bites.
Methods 29 patients with head and facial puncture injuries caused by dog bites admitted to our hospital from June 2022 to June 2024, aged 2-30 years, were randomly divided into an experimental group (n=16) and a control group (n=13) according to a random number table method. The control group received conventional dressing change combined with delayed suture treatment, while the observation group received silver ion dressing combined with delayed suture treatment on the basis of the control group. The incidence of infection, facial function scores, and scar hyperplasia were compared between the two groups of patients. The postoperative infection rate of patients in the experimental group was 12.5%, significantly lower than the postoperative infection rate of 38.46% in the control group (c²=8.056, P<0.05).
Conclusion   Silver ion dressing combined with delayed suturing can improve facial function and aesthetics, reduce postoperative infection rates, and achieve significant therapeutic effects in patients with head and facial puncture injuries caused by dog bites.