Epidermal defect refers to the loss of the skin surface of the patient due to trauma; nail defect refers to the partial or complete loss of the nail after nail extraction or trauma; superficial second-degree burn refers to the injury to the superficial dermis of the epidermal germinal layer. The first blister has a thin wall and contains yellow clear liquid, the base is flushed and moist, the pain is severe, and the edema is obvious. Due to the exudation and bleeding on the wound surface in the early stage of injury, these three surgical diseases are prone to scab adhesion, and the wound healing cycle is long, which brings great pain to the patient during dressing changes. The emergency dressing room of our hospital used two kinds of China Cohesive Bandages Manufacturers, Vaseline gauze and ordinary sterile gauze to cover the wound. Clinical practice found that the use of Vaseline gauze can significantly reduce the adhesion and bleeding of the wound, reduce pain, shorten the healing time, and reduce the patient's economic and physical and mental burden , is reported as follows:
Comparison of the anti-adhesion effect of the two dressings on the wound Sterilized gauze is a traditional dressing, which is easy to dry and stick to the wound during use. In this paper, 86 cases of superficial second-degree burns, 76 cases of epidermal defect, and 103 cases of nail defect, the incidence of wound adhesion in each gauze group at the first and second dressing changes were 69.5%, 80%, and 80%, respectively, and the wound adhesion rate was 76.3%. In the Vaseline group, only 17 of the 129 cases had wound adhesion, and the wound adhesion rate was 19%, and the difference between the two groups was statistically significant (P<0.05).
Influence of the two dressings on pain and bleeding during dressing change The gauze dressing in this paper is easy to adhere to the wound surface, making it difficult to separate, and the pain during tearing is unbearable for the patient. Pain occurred in 93 (68.3%) of 136 patients in the gauze group, and bleeding occurred in 104 (76.4%) patients, increasing the pain of the patients. Vaseline effectively protects the wound because it does not adhere to the wound surface. When the dressing is opened, the gauze is automatically peeled off from the wound surface, thereby reducing the pain during dressing change and reducing the occurrence of re-bleeding. In this paper, only 27 (20.9%) of the 129 cases in the Vaseline group had pain, and 25 (19.3%) had bleeding, and the difference was statistically significant between the two groups (P<0.05).
Influence of the two dressings on the number of dressing changes and wound healing time. In this paper, the 129 cases in the vaseline group had an average of 4.4 dressing changes per case, while the 136 cases in the gauze group had an average of 6 dressing changes per case, and the difference between the two groups was statistically significant (P< 0.05). In this paper, the average wound healing time in the gauze group was 15 days, and that in the vaseline group was 13 days, which was 2 days shorter than that in the ordinary gauze group, and the difference between the two groups was statistically significant (P<0.05). Because the gauze sticks to the wound surface, the chance of re-injury of the wound surface increases, thereby increasing the number of dressing changes and prolonging the healing time of the wound.