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低强度超声波对开放性创口的冲洗效果
引用本文:张寰波,魏蔚,郑宏宇.低强度超声波对开放性创口的冲洗效果[J].中国神经再生研究,2011,15(24):4516-4518.
作者姓名:张寰波  魏蔚  郑宏宇
作者单位:昆明医学院第一附属医院急诊科,云南省昆明市 650031,昆明医学院第一附属医院急诊科,云南省昆明市 650031,昆明医学院第一附属医院急诊科,云南省昆明市 650031
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
收稿时间:9/6/2010 12:00:00 AM
修稿时间:9/6/2010 12:00:00 AM

Effect of low-intensity ultrasound on washing open injury
Zhang Huan-bo,Wei Wei and Zheng Hong-yu.Effect of low-intensity ultrasound on washing open injury[J].Neural Regeneration Research,2011,15(24):4516-4518.
Authors:Zhang Huan-bo  Wei Wei and Zheng Hong-yu
Affiliation:Emergency Department of First Affiliated Hospital of Kunming Medical College, Kunming 650031, Yunnan Province, China,Emergency Department of First Affiliated Hospital of Kunming Medical College, Kunming 650031, Yunnan Province, China,Emergency Department of First Affiliated Hospital of Kunming Medical College, Kunming 650031, Yunnan Province, China
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.
Keywords:low frequency ultrasound  infective wound  clearing bacterial  wound healing
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