封红伟 陈丽琴 胡绣华

DOI：10.3969/j.issn.0253-9926.2020.21.004

基金项目：上海市宝山区科学技术委员会科技创新专

项资金项目(17-E-8)

作者单位：200940 上海市第一人民医院宝山分院护理

部

【摘 要】 目的 观察次氯酸消毒液联合湿性愈合方法在慢性伤口中的效果。方法 对 2017 年 1 月至 2019 年 5 月在我院伤口门诊就诊慢性伤口患者(150 例 229 处伤口)，采用随机数字表格法分为观察组(75 例 116 处伤口)，采用次氯酸消毒液联合湿性愈合方法；对照组(75 例 113 处伤口)，采用常规湿性换药方法。比较 2 组患者创面愈合率、愈合时间、换药次数。 结果 观察组的伤口愈合率高于对照组，愈合时间、换药次数均少于对照组，差异有统计学意义(P<0．05)。结论 应用次氯酸消毒液联合湿性愈合方法优于常规湿性愈合方法。

【关键词】 次氯酸；消毒药；伤口愈合

Observation on the curative effect of hypochlorite disinfectant combined with wet healing on chronic wounds

Feng Hongwei, Chen Liqin, Hu Xiuhua．Department of Nursing， Baoshan Branch of Shanghai First People′s Hospital，Shanghai 200940， China

【Abstract】 Objective

To observe the effect of hypochlorite disinfectant combined with wet healing on chronic wounds．

Methods

From January 2017 to May 2019 229 wounds in 150 patients with chronic wounds were randomly divided into two groups： the observation group (116 wounds in 75 patients) of using combination of hypochlorite disinfectant and wet healing method and the control group (113 wounds in 75 patients) of using conventional wet healing method． Wound healing rate， healing time and dressing change times between the two groups were compared． Results The wound healing rate of the observation group was higher than that of the control group (P < 0．05)， and the healing time and dressing change times of the observation group were also lower than those of the conventional group (P< 0．05)． Conclusion

The combination of hypochlorite disinfectant and wet healing method is better than the conven

tional wet healing method．

【Key words】 Hypochlorous acid； Disinfectants； Wound healing

DOI：10.3969/j.issn.0253-9926.2020.21.004

This article is excerpted from the INTERNATIONAL CONSENSUS UPDATE 2022 by Wound World.

王昳娜 1 ，何振华 1* ，周 瑾 1 ，孙晓芬 2

1. 绍兴文理学院元培学院，浙江 312000；2.浙江中医药大学附属第二医院

Research progress on the application of hypochlorous acid in wound care WANG Yi'na,HE Zhenhua,ZHOU Jin,SUN Xiaofen Shaoxing University,Yuanpei College,Zhejiang 312000 China Keywords hypochlorous acid solution；wound；infection；bacterial biofilm；clinical application；review

摘要

介绍了次氯酸溶液的发展史、杀菌机制、特点、与其他伤口清洁消毒剂的比较、使用方法以及当前研究的不足，旨在为次氯酸溶液在伤口治疗、护理中的应用提供依据。

关键词

次氯酸溶液；伤口；感染；细菌生物膜；临床应用；综述

doi:10. 12102/j. issn. 1009-6493. 2021. 16. 016

Axel Kramer a Joachim Dissemond c Simon Kim b Christian Willy d Dieter Mayer e Roald Papke a Felix Tuchmann f Ojan Assadian g

a Institute of Hygiene and Environmental Medicine and b Department of Trauma, Reconstructive Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald , c Department of Dermatology, Venerology and Allergology, University Hospital Essen, Essen , and d Department of Trauma Surgery, Orthopedics, Reconstructive, Plastic and Hand Surgery, Bundeswehr Hospital, Berlin , Germany; e Department of Surgery, Kantonsspital Freiburg, Freiburg , Switzerland; f Department of Dermatology and g Department of Infection Control and Hospital Epidemiology, Medical University of Vienna, Vienna General Hospital, Vienna , Austria

Keywords

Wound antisepsis · Wounds-at-Risk Score · Antiseptics · Drug · Medical device · Octenidine · Polihexanide · Hypochlorite · Iodophors · Taurolidine · Silver ions · Acetic acid · Negative pressure wound therapy with the instillation of antiseptics · Physical body warm atmospheric plasma · Silver sulfadiazine · Dyes · Mercury compounds · Hydrogen peroxide