ICU烧伤患者创面局部消毒对感染的影响

Effect of local wound disinfection on infections in burn patients in ICU

目的对ICU烧伤患者创面进行局部消毒,研究其对感染的影响。方法选取2009年1月-2010年1月入住ICU治疗的烧伤患者52例,将其作为研究对象,随机分成两组,分别为试验组和对照组,每组各26例,试验组应用局部消毒处理烧伤创面后敷药,对照组不予处理直接敷药,以患者恢复和感染情况为指标,观察局部消毒对感染的影响。结果试验组愈合率为73.08%,对照组为38.46%;试验组感染率为23.08%,对照组为53.85%;试验组中多为局部感染占83.33%,且轻微,对照组全身性感染占42.86%,且严重;以上差异均有统计学意义(P<0.05)。结论 ICU护理中对创面进行局部消毒,可有效减低创面感染的概率,降低感染的严重程度,有助于伤口愈合,值得临床推广应用。

OBJECTIVE To perform the local disinfection for the burned patients in ICU and explore its effect on the infections.METHODS A total of 52 burn patients who enrolled the ICU for treatment from Jan 2009 to Jan 2010 were selected as the study objects,the patients were randomly divided into two groups,the study group and the control group,with 26 cases in each.The study group was treated with local disinfection of burns wound followed by dressings,while the control group did not conduct any treatment except the direct dressing.In the care,and the control group didn′t processed dressings.The effect of local disinfection on the infections was observed by referring the recovery and the infection status of the patients as the indicators.RESULTS The healing rate was 73.08% in the study group,and 38.46% in the control group;the incidence rate of infections was 23.08% in the study group,and 53.85% in the control group;the patients with the slight local infections accounted for 83.33% in the study group,and the patients with serious systemic infections accounted for 42.86% in the control group;the difference in the indexes discussed above between the two groups were statistically significant（P0.05）.CONCLUSION The local disinfection of the burn wound in the ICU nursing can effectively reduce the incidence of wound infections and the severity of the infections,which is conducive to the wound healing and is worthy of being promoted in the hospital.