超声冲洗联合德湿威在术后难愈伤口中的应用研究  

Application of ultrasonic rinse combined with Tenderwet to postoperative difficult to heal wound

作　　者：陈锦[1] 叶锦[1] 张克勤[1] 曾登芬[2] 李黔生[1] 王晶[1] 蒋小娟[3] 

机构地区：[1]第三军医大学大坪医院野战外科研究所泌尿外科,重庆400042 [2]第三军医大学大坪医院野战外科研究所护理部,重庆400042 [3]第三军医大学大坪医院野战外科研究所普通外科,重庆400042

出　　处：《西南国防医药》2013年第5期472-475,共4页Medical Journal of National Defending Forces in Southwest China

基　　金：重庆市卫生局医学科研计划项目(20102471)

摘　　要：目的探讨超声冲洗联合德湿威处理术后难愈伤口的临床效果。方法选择Ⅱ～Ⅲ级术后难愈伤口40例,分为实验组与对照组各20例。实验组采用低频超声冲洗,对照组采用涡流式冲洗,冲洗后均采用TenderWet(德湿威)交互式敷料,用林格液激活后覆盖紧贴于伤口,14 d后观察疗效。结果两组疼痛计分无显著差别;实验组清创期(4.35±2.12)d,对照组清创期(8.98±4.30)d;实验组治疗后显效率85%,对照组显效率为40%;实验组伤口面积愈合率为(69.00±22.25)%,对照组伤口面积愈合率为(37.00±19.84)%。与对照组相比,实验组在清创期、伤口愈合总体有效率和面积愈合率上的差异均有显著统计学意义(P<0.05)。结论超声冲洗能快速有效去除慢性难愈伤口的纤维蛋白沉淀物且疼痛轻微,结合德湿威联合清创,能明显缩短慢性难愈伤口的清创期,促进伤口愈合。Objective To explore the clinical effects of ultrasonic irrigation combined with Tenderwet on postoperative difficult to heal wounds. Methods Forty cases of phase Ⅱ-Ⅲ postoperative difficult to heal wounds were selected and divided into experimental group and control group with 20 ones in each group. The experimental group received the low frequency ultrasonic rinse, and the control group received vortex flow douching. After the douching, both groups received the dressing with interactive Tenderwet activated by Ringerg solution covered on the wounds. Fourteen days later, the curative effects of both groups were compared. Results There was no significant difference in the scores of pain between the two groups. The debridement time was（4.35 ± 2.12） d in the experimental group and（ 8.98 ± 4.30）d in the control group. After the treatment, the excellence rate was 85% in the experimental group and 40% in the control group. The percentage of healing area in the experimental group was（69. 00 ± 22.25 ）%, and that in the control group was （37.00± 19.84 ）%. There were significant differences in the debridement time, overall effective rate, and the percentage of healing area between the two groups （ P 〈 0.05 ）. Conclusion Ultrasonic rinse can quickly and effectively remove the fibrin precipitate of the chronic and difficult to heal wounds with slight pain. The debridement combined with Tenderwet can shorten the healing time and improve the recovery.

关 键 词：难愈伤口 超声冲洗 德湿威 疗效 

分 类 号：R64[医药卫生—外科学]