纳米银纱布对海水及自来水浸泡的兔后肢枪伤伤道的治疗作用

发布时间：2018-06-14 11:41

本文选题：创伤 + 枪击　；参考：《中华外科杂志》2004年06期

【摘要】：目的　观察纳米银纱布对海水及自来水浸泡的兔后肢枪伤伤道的治疗作用。方法　兔双后肢致枪伤后伤道分为 2组。组 1:伤道海水浸泡 5h ;组 2 :伤道自来水浸泡 5h。两组实验侧用纳米银纱布 ,对照侧用凡士林纱布换药治疗。各组均于浸泡后 30min和 1、2、3、4、5h取伤道组织活检 ,观察其病理改变。结果　组 1:实验侧较对照侧创周炎出现晚 ,程度轻 ,伤道内干燥 ,分泌物少。平均愈合时间 :实验侧入口 (2 9 4± 6 6 )d ,对照侧入口 (36 3± 6 0 )d (P 0 0 1) ;实验侧出口 (2 0 1± 6 0 )d ,对照侧出口 (2 7 3± 5 7)d (P 0 0 1)。组 2 :实验侧仅 1只兔创周轻度红肿 ,对照侧创周均有红肿 ,分泌物多。平均愈合时间 :实验侧入口 (13 0± 1 5 2 )d ,对照侧入口 (16 0± 3 10 )d(P 0 0 1) ;实验侧出口 (11 0± 2 75 )d ,对照侧出口 (15 6± 2 85 )d(P 0 0 1)。结论　纳米银纱布有抗感染和加速创面愈合的作用
[Abstract]:Objective to observe the therapeutic effect of nano-silver gauze on gunshot wounds in rabbit hind limbs immersed in seawater and tap water. Methods Rabbits were divided into two groups. Group 1 was immersed in seawater for 5 hours and group 2 was immersed in tap water for 5 hours. The two experimental sides were treated with nano silver gauze and the control side with vaseline gauze. The pathological changes were observed in each group after immersion with 30min and 5 h biopsy. Results: group 1: the experimental side was later than the control side, the degree was light, the wound canal was dry, and the secretion was less. The average healing time was 29.4 卤6.6 days in the experimental side and 36.3 卤6.0 days in the control side (P < 0.01), the outlet of the experimental side was 201 卤6.0 days, and the outlet of the control side was 27.3 卤5.7 days (P 0.01). Group 2: there was only one rabbit on the experimental side with slight redness around the wound, while in the control side, there were redness and more secretions around the wound. The average healing time was 130 卤1.52 days in the experimental side and 160 卤3.10 days in the control side (P 0.01), the outlet of the experimental side was 11.0 卤2.75 days, and the outlet of the control side was 156 卤2.85 d (P 0.01). Conclusion Nano-silver gauze has the effect of anti-infection and accelerating wound healing.
【作者单位】：第四军医大学西京医院烧伤科第四军医大学西京医院烧伤科第四军医大学西京医院烧伤科
【分类号】：R82

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