[摘要] 目的 分析慢性伤口感染病原菌分布情况，观察应用银离子抗菌敷料治疗的效果。方法 整群选择该院2016年1―12月接收的慢性伤口感染患者362例，均收集伤口标本给予病原菌检测，并利用银离子抗菌敷料治疗，观察检测结果及治疗效果。结果 经检测，检出病原菌230株，检出率63.5%（230/362）。230株病原菌中，革兰阴性菌119株，占51.8%；革兰阳性菌104株，占45.2%；真菌7株，占3.0%。经治疗，治疗有效率96.1%（348/362）；感染控制时间（11.7±2.6）d；换药次数（5.2±0.9）次；局部症状消退时间（4.8±1.6）d；住院时间（10.2±1.5）d。结论 慢性伤口感染主要病原菌为革兰阴性菌，利用银离子抗菌敷料治疗后，可有效消除感染症状，促进伤口愈合。
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[关键词] 慢性伤口感染；病原菌分布；银离子抗菌敷料；疗效
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）08（c）-0045-03
Study on Application of Chronic Wound Infection Bacterial Distribution and Silver Ions Antibacterial Dressings
WANG Feng-feng
Department of Burn and Plastic Surgery， First Affiliated Hospital of Xiamen University， Xiamen， Fujian Province， 361000 China
[Abstract] Objective To analyze the chronic wound infection bacterial distribution and the treatment effect of silver ions antibacterial dressings. Methods Group selection 362 cases of patients with chronic wound infection admitted and treated in our hospital from January to December 2016 were selected and the wound specimens were collected and given the bacterial test， and treated with silver ions antibacterial dressings， and the test results and treatment effect were observed. Results 230 strains of pathogenic bacteria were tested and the test rate was 63.5%（230/362）， of 230 strains of pathogenic bacteria， there were 119 strains of gram negative bacteria， accounting for 51.8% and 104 strains of gram positive bacteria， accounting for 45.2% and 7 strains of fungi， accounting for 3.0%， after treatment， the treatment effective rate， infection control time， frequency of dressing change， local symptoms subsided time and length of stay were respectively 96.1%（348/362）， （11.7±2.6）d， （5.2±0.9）times，（4.8±1.6）d，（10.2±1.5）d. Conclusion The main pathogenic bacteria of chronic wound infection is gram negative bacteria， and the treatment of silver ions antibacterial dressings can effectively eliminate the infection symptoms and promote the wound healing.
[Key words] Chronic wound infection； Distribution of pathogenic bacteria； Silver ions antibacterial dressings； Curative effect
?R床中，慢性伤口感染是一种常见症状，由于感染症状较为隐匿，识别难度大，多生长多重细菌，且耐药性较易形成，增加细菌清除难度，降低治疗效果[1]。研究表明，银离子抗菌敷料在慢性伤口感染治疗中具有良好的应用效果。因此，该院以2016年1―12月接收的362例慢性伤口感染患者为研究对象，检测病原菌分布情况的基础上，观察应用银离子抗菌敷料治疗的效果，旨在为临床诊断与治疗提供参考，现报道如下。
1 资料与方法
1.1 一般资料
整群选择该院接收的慢性伤口感染患者362例，男214例，女148例；年龄23～77岁，平均（48.2±10.8）岁；伤口类型：手术切口感染117例，外伤96例，压疮74例静脉性溃疡42例，糖尿病足溃疡33例。纳入标准[2]：①均为临床常见伤口，符合伤口感染诊断标准；②原发病或并发症均处于稳定期，控制效果良好；③患者及家属均对该研究知情；④排除伤口癌变、急性出血患者。
发表于 2018-8-15 10:42:40