急诊清创术中高频电凝的效果研究  

A Study on the Efficacy of High-frequency Electrocoagulation in Emergency Debridement

作　　者：杨鼎君[1,2] 曹钰[1] 杨晓燕[2] 吕洋[2] 

机构地区：[1]四川大学华西临床医学院/华西医院急诊科,成都610041 [2]都江堰市人民医院急诊科,成都611830

出　　处：《成都医学院学报》2017年第1期54-56,共3页Journal of Chengdu Medical College

基　　金：四川省科技厅应用基础项目(No:2013JY0155)

摘　　要：目的研究高频电凝在急诊清创术中的实际疗效和不良反应。方法 1 866例急诊创伤患者,随机盲选分为对照组和治疗组。对照组932例患者行常规外科清创,治疗组934例患者应用高频电凝清创,对比清创手术时间和创口感染、创口愈合率。结果常规外科清创手术时间(23.32±5.42)min,术后创口感染率3.2%,应用高频电凝清创手术时间(14.11±5.03)min,术后患者创口感染率0.8%,治疗组清创手术时间较对照组短,创口感染和延迟愈合发生率较对照组低。结论在急诊清创术中使用高频电凝能缩短清创时间、降低创口术后并发症的发生风险、缩短创口愈合时间。Objective To investigate the efficacy and adverse effects of high-frequency electrocoagulation in emergency debridement.Methods A total of 1866 acute trauma patients were divided randomly into the control group and the intervention group.The control group consisted of 932 patients receiving the conventional surgical debridement;while the intervention group comprised 934 patients undergoing the debridement by high-frequency electrocoagulation.The comparisons were made in the operation time and the rates of wound infection and delayed wound healing.Results The mean operation time of the control group was （23.32＆#177;5.42）min,while that of the intervention group was （14.11＆#177;5.03）min.The rate of postoperative wound infection was 3.2% in the control group,while the rate was 0.8% in the intervention group.The intervention group was better in the operation time, rates of wound infection and delayed wound healing than the control group. Conclusion High-frequency electrocoagulation is effective in shortening the time of operation and wound healing and reducing the risk of postoperative complications.

关 键 词：急诊清创术 高频电凝清创术 常规外科清创术 

分 类 号：R641[医药卫生—外科学]