脉冲冲洗器在对Ⅲ型开放性软组织损伤冲洗中预防感染的临床研究

目的对脉冲冲洗器在Ⅲ型开放性软组织损伤冲洗过程中的临床预防感染效果进行临床实验研究,为开放性损伤的治疗提供更合理、更科学、更经济的治疗参考。方法通过对2010年12月~2012年2月住院的Ⅲ型开放性损伤66例患者的伤口使用脉冲冲洗器进行生理盐水、双氧水、安多福三联冲洗,对冲洗前、第一次冲洗后、第二次冲洗后、第三次冲洗后进行微生物学检验分析,观察使用脉冲冲洗器三联冲洗液对细菌数量、细菌种类的冲洗结果变化。结果 66例患者中,冲洗前细菌检验显示伤口100%均有细菌存在,可见G+杆菌、G+球菌、G-球菌、G-杆菌,以G-杆菌多见,细菌培养显示占51.52%﹙34例﹚;经过各次冲洗后细菌数量及种类明显递减,第三次冲洗后细菌培养仅见G+球菌占3.03%;G-杆菌占6.06%;合并2种细菌者占3.03%。结论使用脉冲冲洗器对Ⅲ型开放性软组织损伤进行三联消毒冲洗液的预防感染效果可靠,值得临床研究及进一步推广。

The study of pulse wash instrument for irrigation in the prevention infection of open-injury patients

Objective To study the clinical effect ofprevente infection of open-injury patients of use the pulge wash in- strument for irrigation. Methodss Study 66 cases of open-injury patients, use the pulse wash instrument for irrigation, assay their effect of the change of bacterial in 4 times in the following cases ： before wash, after the 1st wash, the 2nd wash and the 3rd wash. Results All cases there were bacterial in the wound before wash, 51.52% are G - rod-shaped thin bacteria. And the quantity and species gradually reduced after each wash. Conclusion It is a effective method to pre- vente the infection of open-iniury patients by use the pulse wash instrument for irrigation.