彻底清创术对手外伤感染愈合的影响
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[摘要] 目的 探讨彻底清创术对手外伤感染及愈合的影响。方法 对87例手外伤病人在彻底清创前、后做细菌培养,总结细菌培养的阳性率、阴性率及伤口愈合率。结果 清创术前细菌培养的阳性率、阴性率分别为95.4%、4.6%,术后分别为8.0%和92.0%。伤口Ⅰ期愈合率97.7%(85例),Ⅱ期愈合率2.3%(2例)。经卡方检验,χ2=132.9,P<0.01,有明显统计学差异。结论 彻底清创术是降低手外伤术后感染的有效手段。
[关键词] 手外伤; 细菌培养; 清创
[中图分类号] R681.7 [文献标识码] A [文章编号] 1673-9701(2010)15-137-02
Influence of Thorough Debridement upon Healing of Hand Trauma Infection
ZHOU Taiji
Worker’s Hospital of Henan Quality Engineering College,Pingdingshan 467000,China
[Abstract] ObjectiveTo investigate the influence of thorough debridement upon the healing of hand trauma infection. MethodsThe bacterial culture was carried out in 87 cases of hand trauma before and after thorough debridement,and the positive rate and the negative rate of bacterial culture and the rate of wound healing were observed. ResultsThe positive rate and the negative rate of bacterial culture were 95.4% and 4.6% before thorough debridement,and 8.0% and 92.0% after thorough debridement,respectively. The wound healing rate of stage I was 97 ......
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