严重烧伤患者肠源性感染的预防方法探讨

目的 探讨预防严重烧伤患者肠源性感染的有效方法。方法 将52例严重烧伤患者随机分成两组,即观察组和对照组各26例,观察组采用选择性肠道去污法和早期肠道营养,基础方法同对照组;对照组采用静脉滴注氧哌嗪青霉素和头孢唑林,创面用10％磺胺嘧啶银乳剂。结果 观察组中肠源性感染的发生率明显低于对照组,两组有显著差异性(P<0.01)。结论 采用选择性肠道去污法和早期肠道营养可以降低严重烧伤病人肠源性感染的发生率。

Prevention of enterogenous infection in serious burn patients.

Objective To investigate the effective methods for preventing the enterogenous infection of serious burn patients. Methods 52 cases were divided into 2 groups randomly. Control group and observative group were 26 cases re-spectively. Both groups received genenal treatments. The control group was treated with veinous transfusion of piperacillin and cefazolin,and 10% sulfadiazine silver emulsion was put on the wound.The selective intestinal decontamination and the early intestinal nutrition were applied to the experimental group. Results The incidence of enterogenous infection in the experimental group was significandy lower than in the control group. Conclusion The selective intestinal decontamination and the intestinal feeding in the early stage can effectively reduced the rate of enterogenous infection.