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目的:观察银离子敷料在脊柱结核术后不愈合伤口中的疗效.方法:将30例脊柱结核术后伤口不愈合患者随机分为观察组16例与对照组14例.常规消毒清洁伤口 ,观察组伤口用银离子敷料换药 ,对照组伤口用10% 高渗盐水纱布换药 ,观察两组伤口细菌培养、愈合时间的变化.结果:观察组患者换药后细菌培养检出率明显降低 ;伤口愈合天数缩短 ;两组比较 P<0.05 ,差异有统计学意义.结论:银离子敷料治疗脊柱结核术后不愈合伤口 ,能有效控制和杀灭结核细菌 ,促进伤口愈合.“,”Objective :Observe the silver ion dressings in spinal tuberculosis curative effect of postoperative does not heal the wound .Methods:30 ca-ses were divided into observation group and control group .Regular disinfection cleaning wounds ,observation group wound dressings dressing with sil-ver ions ,control the wound with 10% hypertonic saline gauze bandage ,Observe two groups of wound bacterial culture ,the change of the healing time . Results :After dressing bacteria culture of observation group patients was significantly reduced ;Wound healing days shorten ;the difference was statis-tically significant .Conclusion:The silver ion dressings can effectively control and kill the TB bacteria ,promote wound healing .