碘伏湿纱布在气管切开伤口换药中应用的效果评价  

Application effect of the Iodophors hygro-gauze on tracheotomy wound dressing

作　　者：唐良春[1] 朱艳芬[1] 陈建明[1] 

机构地区：[1]广东医学院附属医院呼吸内科,湛江524001

出　　处：《中国实用护理杂志》2011年第20期42-43,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨碘伏湿纱布在气管切开切口换药中的应用效果。方法选择气管切开造口置气管套管患者50例，均为Ⅲ类切口，随机分为观察组和对照组各25例。分别采用0．5％碘伏浸湿纱布外敷伤口和用凡士林油纱外敷伤口，于24h后再次取样送细菌检查，分析细菌菌落数、致病菌生长情况和观察伤口局部情况。结果清洁消毒后即取样，结果表明细菌菌落数、致病菌生长2组间没有显著差异；24h后取样表明，观察组菌落计数和致病菌生长明显少于对照组；观察组局部伤口感染少，治疗效果优于对照组。结论0．5％湿碘伏纱布外敷气管切开造口，能有效杀死各种病原微生物，预防呼吸道继发感染，同时能治疗和预防伤口感染。Objective To observe the application effect of the Iodophors hygro-gauze on tracheotomy wound dressing. Methods Fifty patients who underwent tracheotomy with 11I incision, were chosen to be divided into the control group and the observation group with 25 in each group. With saline water cleaning incision and surrounding skin, then disinfection with 0.5% iodophors sanitizers tampon. The observation group applied 0.5% Iodophors hygro-gauze on the wound, the control group used vaseline oil yarn. 24 hours after sample inspection, again samples were sent for bacteria analysis, bacterial colonies number, pathogenic bacteria growth and local situation of wound were observed and analyzed. Results The first results upon disinfection showed that bacterial colonies number, pathogenic bacteria growth between the two groups had no difference. After 24 hours sampling showed that the colony count and pathogenic bacteria growth of the observation group was obviously less than the control group. Local wound infection of the observation group was lighter than the control group. Conclusions 0.5% Iodophors hydro-gauze applied for tracheotomy wound dressing can effectively kill various pathogenic microorganism, prevent secondary infection, and also can prevent and treat wound infection.

关 键 词：碘伏湿纱布 气管切开 伤口换药 护理 

分 类 号：R473.6[医药卫生—护理学]