摘要： 目的：对比苯扎氯铵溶液及碘伏溶液在冲洗治疗颌面部脓肿中的效果。方法：颌面部脓肿患者59例，随机分为实验组29例，对照组30例。实验组行脓肿切开引流后每天用0.01%苯扎氯铵溶液冲洗；对照组行脓肿切开引流后每天用0.25%碘伏溶液冲洗。两组病例均在脓肿切开前取脓液送细菌培养，切开后每3d取脓液送细菌培养1次。并记录每例患者治愈脓肿的换药天数。结果：换药3d后实验组细菌培养阳性为7例，对照组细菌培养阳性为15例；换药6 d后实验组细菌培养阳性为0例，对照组细菌培养阳性为7例。实验组平均换药天数为3.34 d，对照组平均换药天数为5.87d。结论：用苯扎氯胺溶液冲洗治疗颌面部脓肿比用碘伏溶液冲洗更为有效，并可以减少脓肿切开后到治愈的换药天数。

关键词: 苯扎氯胺, 碘伏, 颌面部脓肿

Abstract: Objectives:To compare the treatment efficacy of benzalkonium chloride solution versus  povidone iodine solution in maxillofacial abscess washing therapy. Methods: 59 cases of maxillofacial abscess patients were randomly divided into experiment group A (29 cases) and comparative group B (30 cases). In group A, maxillofacial abscess was partly incised and drainged, then rinsed daily with 0.01% benzalkonium chloride solution. In group B, patients' abscess partly incised and drainged, then rinsed daily with 0.25% povidone iodine solution. In both groups, bacterial culture of the pus were undertaken before incision and drainage and every 3 days after washing therapy. Results: Three days after dressing, the positive rate of bacterial culture in experimental group A  and comparative group B were 7 cases and 15 cases respectively. 6 days after, positive culture cases were 0 in group A and 7 in group B. The average dressing time in experimental group A and comparative group B were 3.34 days and 5.87 days respectively. Conclusion: The treatment efficiency of abscess by benzalkonium chloride solution is much better than by povidone iodine solution.

Key words: benzalkonium chloride, povidone iodine solution, maxillofacial abscess

中图分类号: 

• R782.3