超激光红外线照射治疗感染伤口和溃疡的疗效观察
作者:张苏婉,罗华,庞思思,钟碧,吴珍珍。
【摘要】 目的:评价超激光疼痛治疗仪(SuperLizer 简称SL)及红外线治疗仪治疗感染伤口和溃疡的疗效。方法:用随机方法将72例感染伤口和溃疡患者分为A、B两组,每组36例。A组为治疗组:在消炎、伤口换药基础上加用SL、红外线治疗仪照射伤口和溃疡7 d;B组为对照组:单纯消炎、伤口换药。结果:A组治愈28例,显效8例,有效率为100%;B组治愈14例,显效12例,无效10例,有效率为72%,统计学处理χ2=15.47,P0.01,两组差异有显著性。结论:SL、红外线治疗仪辅助照射感染伤口和溃疡,能明显促进伤口或溃疡愈合。
【关键词】 超激光疼痛治疗仪;红外线治疗仪;感染伤口;溃疡。
Effects of SuperLizer and Infrared Ray Irradiation in Treating Infected Wound and Ulcers。
Abstract: Objective To evaluate the effect of superlizer and infrared ray light irradiation in the treatment of infected wound and ulcers. Methods 72 Patients with infected wound and ulcers were divided into group A and group B in randomly.36 patients per group. As treatment group A: Antiphlogistic agent and wound dressing changes were used with irradiation for 7 days but without irradiation on group B. Results 28 patients in group A were cured, 8 patients turned better, the total effective rate was 100%. In group B, 14 patients were cured. 12 patients turned better and 10 patients unchanged. The overall effective rate was 72%. There were significant difference between them (P0.01). Conclusion SuperLizer and infrared ray irradiation on infected wound and ulcers had significant facilitated in healing.
Key words: Superlizer; Infrared ray; Infected wound; Ulcer。
创伤术后的伤口和溃疡,多由于换药不当、交叉感染控制不住、局部供血不良或受压迫组织坏死继发感染[1],或伴有全身营养状态差或患者肥胖、脂肪液化致细菌感染引起,伤口迁延难愈,处理较为困难,给患者造成额外的经济负担和痛苦。我科自2004年5月至2006年5月对72例感染伤口和溃疡患者在消炎、伤口换药基础上,36例用超激光疼痛治疗仪(SL)、红外线治疗仪对感染伤口和溃疡照射治疗,取得良好的效果,现报道如下。
1 资料与方法。
1.1 临床资料 本组72例均系感染伤口和溃疡患者,其中男43例,女29例,年龄7岁~61岁;均在外科换药,最短2周,最长28 d;未见好转的情况下来我科用SL、红外线照射配合治疗,其中四肢软组织外伤后感染40例、下肢慢性炎性溃疡24例、口腔下颌部外伤后感染伤口4例、骶尾部溃疡4例;感染伤口溃疡面积0.3 cm2~5 cm2,小于2 cm2共22例,2 cm2~5 cm2共50例;2组患者的平均年龄、性别比例、病程、病种、伤口面积大小均相近,具有可比性(P0.05)。
1.2 治疗方法 所有患者给高蛋白、高热量、高纤维素、易消化的饮食。所有病例均按传统方法行伤口局部清创,每日换药,全身用抗生素消炎,在此基础上,A组先局部清创后采用SL的C探头离伤口约1 cm作固定照射(功率100%,on/off 5/1),连续照射10 min,1次~2次/d,7 d为1个疗程,同时采用周林频谱仪(深圳)有限公司研制的红外线治疗仪照射。照射时灯距皮肤10 cm~20 cm,以患者皮肤感觉温和为度(皮肤表面处温度可为38 ℃~46 ℃)。局部要暴露于红外线镭射区内,1次/d,每次照射时间为30 min,通常7 d为1个疗程,照射后再行外科换药。