氧化还原电位水在小面积浅Ⅱ°烧烫伤创面的应用  

The Application of Oxidation-reduction Potential Water in the Treatment of Small Area Superficial of Burn Wounds

作　　者：吴兆红[1,2,3] 陈岗东[1] 王戈菲[1] 陈启华[2,3] 肖贤明[2] 

机构地区：[1]广州医学院第三附属医院,广东广州510150 [2]中国科学院广州地球化学研究所,广东广州510640 [3]中国科学院研究生院,北京100049

出　　处：《长江大学学报（自科版）（下旬）》2009年第2期25-27,共3页Journal of Yangtze University

基　　金：广东省科技厅资助项目(2005B36001026)

摘　　要：目的:探讨氧化还原电位水用于小面积浅Ⅱ°烧烫伤创面治疗的效果。方法:选择非电光烧烫伤、火焰烧烫伤、化学烧烫伤和没有被污染的或没有用其它方法治疗过的门诊患者22例。所有患者均为小面积浅Ⅱ°烧烫伤。入选患者被随机平均分成实验组和对照组。实验组应用新鲜配制的氧化还原电位水(pH2.1～2.5,氧化还原电位1100～1200mv,有效氯90～130mg/L),对照组使用普通生理盐水。观察烧烫伤伤者一般情况变化,烧烫伤创面局部疼痛程度,烧烫伤创面局部分泌物的量和气味,以及烧烫伤创面局部细菌培养和愈合快慢等情况。结果:各组均有11个病例,两组间年龄和受伤面积没有统计学差异。两组创面疼痛比较,伤后第7天治疗组创面疼痛明显减轻(P<0.05)。两组创面分泌物的量比较,治疗后第3、5、7、10d分别与治疗前比较差异有统计学意义(P<0.05)。两组治疗前、后创面细菌培养比较,治疗第3天后氧化还原电位水组(实验组)创面细菌培养阳性比数明显减少(1/11),与对照组(4/11)相比,差异有统计学意义(P<0.05)。两组创面愈合时间和全身不良反应比较:氧化还原电位水(实验组)创面完全愈合时间为(7.24±1.83)d,对照组创面愈合时间为(10.32±1.74)d,两组比较有统计学意义(P<0.05)。结论:应用氧化还原电位水治疗于小面积浅Ⅱ°烧烫伤伤者创面,不仅可以杀灭烧烫伤创面表面的细菌,减轻损伤后局部的炎症和组织渗出,减轻局部疼痛,而且能缩短浅Ⅱ°烧烫伤创面的愈合时间。氧化还原电位水有减轻烧烫伤创面的进一步损伤和促进烧烫伤创面的愈合的作用,价格便宜,使用方便。Objective:To research the efficacy and clinical significance of oxiadation-reduction potential water in the treatment of small area superficialⅡdegree burn wounds.Methods:22 cases of outpatients, with non-electro-optic burns, flame burns, chemical burns wound which had not been contaminated or initially treated, were selected.The area of burn wounds was less than 3% of all body, mainly in upper or lower limbs.All the patients were randomly divided into two groups: treatment group and control group.The treatment group was treated with fresh prepared oxidation-reduction potential water (pH 2.1~ 2.5, ORP 1 100~1 200mv, chlorine 90~130mg/L) and the control group was treated with normal saline.The change of patients’ situations, the pain level of local burn wound and the smell of local secretions, as well as the healing speed and local bacterial culture of the local burn wound areas were observed.Results:There is no statistic difference in the area of burn wounds between the two groups.Compared with control group, the pain level of burn wound areas in treatment group were alleviated after 7 days(P<0.05);the secretion of burn wound area in treatment group were less than control group at 3,5,7 and 10 days(P<0.05);the positive bacteria culture result in treatment group were less than control group, (treatment group 1/11,control group 4/11, P<0.05).Time for burn wound complete healing in treatment group and control group were (7.24±1.83) days and (10.32±1.74 )days(P<0.05).Conclusion:In the treatment of superficial Ⅱ degree burn wounds, the oxidation-reduction potential of water can kill bacteria on the surface of burn wounds, reduce inflammation and exudation after injury, alleviate the pain and shorten the healing speed.The use of oxidation-reduction potential water is cheap and easy and effective in clinical practice.

关 键 词：氧化还原电位水 烧烫伤创面 愈合 

分 类 号：R644[医药卫生—外科学]