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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].中国临床康复,2011(24):4516-4518.
作者姓名:张寰波  魏蔚  郑宏宇
作者单位:昆明医擘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2h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5d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

Effect of low-intensity ultrasound on washing open injury
Zhang Huan-bo,Wei Wei,Zheng Hong-yu.Effect of low-intensity ultrasound on washing open injury[J].Chinese Journal of Clinical Rehabilitation,2011(24):4516-4518.
Authors:Zhang Huan-bo  Wei Wei  Zheng Hong-yu
Affiliation: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.
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