Wound care ointment

Wound care ointment is neither a panacea for "getting better soon after application" nor an IQ tax for "boring wounds". Only by choosing the right ingredients and using the right dosage according to the wound stage can we really reduce the risk of infection, speed up healing and reduce the probability of leaving scars, and the wrong choice will aggravate the injury.

It's not that I'm alarmist. Last week, my best friend fell on her knee by bike, and got a leg of mud. When she went home, she washed it casually and turned out half a tube of burn paste left over from last year. The next day, she was so swollen that she even had trouble bending her leg. She went to the community hospital and was scolded by the doctor. The burn paste was used to moisturize the deep second-degree burn wound. It's strange that the contaminated fresh scratch directly suffocated the bacteria in the wound, but it didn't swell.

I used to help nurses organize the consumables cabinet for three months in the emergency department. The nursing cream on the market shouted "repair", "promote healing" and "remove scar". It looks fancy, but in fact, the core is three categories. If you organize it into a table, you won't buy it wrong:

Oh, by the way, many people's erythromycin ointment and mupirocin ointment are anti-infective. Don't paste all wounds. When there is no infection, it is easy to develop drug resistance, but it will not work when it is really needed.

Speaking of which, someone must ask. I read on the internet that the wound should be dried and scabbed quickly, and wouldn't it rot if it was stuffy with ointment? This is actually a different concept in two stages of surgical nursing, and there is no absolute right or wrong. The clinical experience of the older generation is more inclined to dry cultivation, especially in the early years when medical conditions are limited and dressing change and disinfection are not in place. Wet cultivation is easy to breed bacteria, and dry scab is equivalent to covering the wound with a natural protective layer, which is suitable for situations where frequent dressing change is inconvenient or the wound is heavily polluted, such as injuries caused by outdoor work and travel, and it is safer to dry cultivation.

The current concept of wet healing has been gradually popularized in the last twenty years. I talked to the nurses in the department of wound ostomy before. Now they basically use the moisturizing dressing of nursing paste to treat superficial wounds. As long as the aseptic operation is in place, the crawling speed of epidermal cells in the moist environment is about 30% faster than that of dry culture, and there will be no problem of pus accumulation under the scab. When changing the dressing, the new granulation will not be torn, and the pain is much lighter and the probability of scar formation is low. To put it bluntly, which one to choose depends on whether you have the conditions to do a standardized dressing change, and there is no absolute difference.

There is also a particularly fierce argument: is the imported wound care cream better than the domestic one? I compared more than a dozen products when I was helping my friend sort out the scar removal strategy a while ago. To be honest, the core ingredients are not much different. For example, the hottest imported silicone scar-removing cream costs 328 yuan for 30g, and the effective silicone content is 1%, while the domestic products of the same type are only 99 yuan for 40g, and the silicone content is also 1%. The difference is that the imported products use volatile silicone matrix, which dries after a few minutes, and the oil skin is not sticky. If you are dry or have limited budget, the domestic products are completely enough, and the effect is really not much different. On the contrary, I would like to remind everyone that many so-called "imported growth factors" and "universal repair creams" are mostly cosmetic brands, and the content of effective ingredients is so low that it can be ignored. It is better to go to the hospital to open dozens of domestic mechanical brand growth factors.

Last year, I had a facial nevus surgery, and the 2cm incision was carefully followed by the nurse's procedure. Now I can hardly see the scar. For your reference: there is exudate in the incision in the first 3 days after operation, only iodophor is used for disinfection twice a day, and no ointment is applied, just cover it gently with sterile gauze; When the exudation stops completely on the fourth day, a layer of reddish thin tissue grows on the incision, and the growth factor is thinly coated twice a day, as long as the amount of coating can cover the incision, and don't apply it thickly; On the 7th day after operation, the stitches were removed, and immediately after the scab was removed, it was replaced by silicone scar removing cream, which was applied twice a day for three months. Even my mother couldn't find the scar. Oh, by the way, my middle hand was thickly coated once, and two small red rashes came out around the incision the next day, so I stopped for a day before it disappeared. Really, don't be greedy, just Bo Tu, just like covering the wound with plastic wrap, not sticking to the wall.

After all, wound care cream is always an auxiliary tool, and the core is to judge the state of the wound first. If you are not sure what to use for your own wound, don't blindly search Xiaohongshu's "Universal Nursing Guide". Hang a number in the community hospital near your home, and the nurse can explain it to you in two minutes, which is much more useful than buying hundreds of pieces of ointment blindly. If you feel itchy, red, swollen and oozing more after applying the nursing cream, don't carry it hard. Rinse it with normal saline immediately and go to the hospital. It is likely that you are allergic or infected. If you leave a scar for a long time, it will be a real loss.