严重烧伤患者肠源性感染的预防方法探讨

Prevention of enterogenous infection in seriously burnt patients

目的 探讨预防严重烧伤患者肠源性感染的有效方法。方法 1996年 1月～ 2 0 0 0年 9月随机将 5 2例严重烧伤患者分成两组 ,即观察组和对照组各 2 6例 ,观察组采用选择性肠道去污法和早期肠道营养 ,基础方法同对照组 ;对照组采用静脉用氧哌嗪青霉素和头孢唑林 ,创面用 10 %磺胺嘧啶银乳剂。结果 观察组中肠源性感染的发生率明显低于对照组 ,两组有显著差异性 (P <0 .0 1)。结论 说明采用选择性肠道去污法和早期肠道营养可以降低严重烧伤病人肠源性感染的发生率。

Objective To seek the effective methods to prevent the enterogenous infection of seriously burnt patients. Methods 52 cases were divided into 2 groups at random, with half in control group and half in experimental group. Both groups received general treatments. The control group was treated with venous transfusion of piperacillin and cefazotion and 10% sulfadiaxine silver emulsion for the wound. The selective intestinal decontamination and the early intestinal feeding were applied to the experimental group. Results The incidence rate of enterogenous infection in the experimental group was significantly lower than that in control. Conclusion The selective intestinal decontamination and the intestinal feeding in the early stage can effectively lower the rate of enterogenous infection.