中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (24): 4516-4518.doi: 10.3969/j.issn.1673-8225.2011.24.036

• 组织构建临床实践 clinical practice in tissue construction • 上一篇    下一篇

低强度超声波对开放性创口的冲洗效果

张寰波，魏  蔚，郑宏宇   

  1. 昆明医学院第一附属医院急诊科，云南省昆明市 650031
  • 收稿日期:2011-02-07 修回日期:2011-03-21 出版日期:2011-06-11 发布日期:2011-06-11
  • 作者简介:张寰波，男，1971年生，主治医师，主要从事急诊创伤方面的研究。 Zhb69982003@yahoo.com.cn

Effect of low-intensity ultrasound on washing open injury

Zhang Huan-bo, Wei Wei, Zheng Hong-yu   

  1. Emergency Department of First Affiliated Hospital of Kunming Medical College, Kunming 650031, Yunnan Province, China
  • Received:2011-02-07 Revised:2011-03-21 Online:2011-06-11 Published:2011-06-11
  • About author:Zhang Huan-bo, Attending physician, Emergency Department of First Affiliated Hospital of Kunming Medical College, Kunming 650031, Yunnan Province, China Zhb69982003@yahoo.com.cn

PDF

454

被引次数

9

摘要：

背景：虽然医疗技术不断进步，但开放性损伤导致的伤口感染率仍然较高。
目的：对比低强度超声波与传统方法对开放性创伤伤口冲洗的效果。
方法：收集84例开放性创伤患者，观察经低强度超声波冲洗的42例患者(观察组)的伤口细菌清除及愈合情况，并与经常规冲洗的42例患者(对照组)细菌清除及愈合情况。
结果与结论：观察组清创2 h后伤口组织中细菌清除率、伤口甲级愈合率明显高于对照组(P < 0.01，P < 0.05)；观察组5 d伤口愈合面积明显大于对照组，其平均愈合时间较对照组有明显缩短(P < 0.01)。说明使用低强度超声波创伤冲洗机对伤口进行冲洗，具有清除效果确切和操作简便易行，同时能促进伤口愈合。

关键词: 开放性损伤, 污染伤口, 低强度超声波, 清创, 伤口愈合

Abstract:

BACKGROUND: Infection rate of open injury is high.
OBJECTIVE: To compare the effects of low-intensity ultrasound and traditional method on washing open wounds.
METHODS: Clinical data of 84 patients with open wounds were collected. Bacterial eradication and wound healing of 42 patients irrigated by low-intensity ultrasound were observed and compared with 42 patients (control group) undergoing regular flushing.
RESULTS AND CONCLUSION: The wound tissue bacterial clearance rate and A level union rate at 2 hours after debridement were significantly greater in observation group compared with control group (P < 0.01, P < 0.05). The area of wound healing at 5 days was greater in observation group compared with control group, and the average healing time was significantly shortened than the control group (P < 0.01). Results shown that low-intensity ultrasound wound washing machine can effectively wash the wound with simple operation and promote wound healing.

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