论文部分内容阅读
1994年3月~1997年5月间,我们对111例开放性骨折患者在急诊清创时随机分成A、B两组,A组单用3%过氧化氢浓液清洗伤口,B组除用3%过氧化氢溶液外,加用0.1%洗必泰水溶液清洗伤口。对两组病例出现的感染率进行比较。结果显示:Ⅰ、Ⅱ度开放性骨折两种方法无统计学差异(P>0.05),而Ⅲ度开放性骨折有显著差异(P<0.01),B组优于A组。建议在Ⅲ度开放性骨折清创时,可常规联合应用3%过氧化氢溶液和0.1%洗必泰水溶液清洗伤口。
Between March 1994 and May 1997, 111 patients with open fractures were randomly divided into two groups A and B during emergency debridement. Group A washes the wounds with only 3% hydrogen peroxide concentrate, while group B used only 3% hydrogen peroxide solution, add 0.1% chlorhexidine aqueous solution to clean the wound. The incidence of infection in both groups was compared. The results showed that there was no significant difference between the two methods (P> 0.05). There was significant difference between open fractures of Ⅲ degree (P <0.01). Proposed open debridement in the third degree of debridement, the routine combination of 3% hydrogen peroxide solution and 0.1% chlorhexidine solution wound cleaning.