高渗盐水治疗阑尾炎术后切口感染观察  

Effect of hypertonic saline on infected wound of postappendectomy

作　　者：万厚民[1] 张应丽[1] 王晓鲁[1] 黄靖[1] 王震宇[1] 

机构地区：[1]济南市第四人民医院普外科,山东济南250031

出　　处：《中国现代医学杂志》2006年第7期1104-1105,共2页China Journal of Modern Medicine

摘　　要：目的探讨高渗盐水对阑尾炎术后切口感染的治疗作用。方法82例阑尾炎术后切口感染的患者随机分为两组,治疗组采用10%高渗盐水进行切口换药,先冲洗后湿敷,对照组采用生理盐水进行切口换药。两组均用75%酒精常规消毒,换药时均清除坏死组织和暴露的线结。结果治疗组较对照组切口感染控制快,愈合快。治疗组的愈合时间为(16±9)d,而对照组的愈合时间为(25±16)d,两组比较,差异有显著性(t=3.103,P<0.05)。结论采用高渗盐水处理阑尾炎感染切口能有效抑制细菌繁殖,促进切口愈合,值得临床推广应用。[Objective] To study the effects hypertonic saline on infected wound of postappendectomy. [Methods] 82 patients were divided into two groups randomly. Treatment group were performed dressing change with hypertonic saline while the control one with isotonic saline. The incision was sterilized with 75% alcohol. The necrotic tissue and exposed thread node were taken out completely. [Results] The wound healing of the treatment group （1±9 days） was earlier than the Control one （25±16 days）. There as significant difference between them. [Conclusion] It is worth utilizing hypertonic saline on infected wound for restraining the bacterial reproduction effectly and promoting the wound healing.

关 键 词：高渗盐水 切口感染 阑尾炎 

分 类 号：R656.8[医药卫生—外科学]