《Journal of Oral and Maxillofacial Surgery》 ›› 2013, Vol. 23 ›› Issue (4): 299-301. doi: 10.3969/j.issn.1005-4979.2013.04.015

• Clinical Report • Previous Articles     Next Articles

Antibiotic Washing Therapy of Maxillofacial Abscess: Comparison of
Benzalkonium Chloride versus Povidone Iodine

WANG Jian-guo, LI Ke-lai, LI Qing-long   

  1. Department of Oral and Maxillofacial Surgery, Tangshan Municipal Xiehe Hospital, Tangshan 063000,
    Hebei Province, China
  • Online:2013-08-28 Published:2013-11-07
  • Contact: 王建国,主治医师. E-mail:wjg-zz@163.com

苯扎氯铵溶液与碘伏溶液冲洗治疗颌面部脓肿疗效比较

王建国,   李可来,   李庆隆   

  1. 唐山市协和医院口腔颌面外科,河北  唐山063000
  • 作者简介:王建国(1977—),男,河北承德人,主治医师, 学士.

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

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

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