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清洗闭合性头颈部伤口对伤口愈合及感染的影响。

Effect of washing closed head and neck wounds on wound healing and infection.

作者信息

Goldberg H M, Rosenthal S A, Nemetz J C

出版信息

Am J Surg. 1981 Mar;141(3):358-9. doi: 10.1016/0002-9610(81)90196-3.

DOI:10.1016/0002-9610(81)90196-3
PMID:7212184
Abstract

A group of 100 patients were compared with 100 control patients. Both groups had either traumatic or surgically incised clean wounds of the head and neck. The groups were similar except that the 100 test patients were allowed to wash their head and neck wounds with soap and water within hours after the repair, while the control group kept their wounds dry until all of the sutures were removed. On the basis of this study, we believe that allowing patients to wash their wounds and bathe routinely as early as 8 hours after wound closure hs no effect on wound or infection. We believe that good technique during surgery for incision or laceration closure is much more important than any manipulation of the wound or of the general body systems.

摘要

将100名患者与100名对照患者进行了比较。两组患者均有头部和颈部的创伤性或手术切开的清洁伤口。除了100名试验患者在伤口修复后的数小时内被允许用肥皂和水清洗头部和颈部伤口,而对照组保持伤口干燥直到所有缝线拆除外,两组情况相似。基于这项研究,我们认为在伤口闭合后最早8小时就让患者常规清洗伤口和洗澡对伤口或感染没有影响。我们认为手术中进行切口或撕裂伤缝合时的良好技术比伤口或全身系统的任何处理更为重要。

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Does earlier bathing increase the risk of surgical site infection? A meta-analysis of 11 randomized controlled trials.早期沐浴会增加手术部位感染的风险吗?对11项随机对照试验的荟萃分析。
EFORT Open Rev. 2024 Jun 3;9(6):458-466. doi: 10.1530/EOR-23-0062.
2
Water for wound cleansing.伤口清洗用水。
Cochrane Database Syst Rev. 2022 Sep 14;9(9):CD003861. doi: 10.1002/14651858.CD003861.pub4.
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Postoperative washing of sutured wounds.缝合伤口的术后冲洗
Ann Med Surg (Lond). 2016 Sep 2;11:36-8. doi: 10.1016/j.amsu.2016.08.015. eCollection 2016 Nov.
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Postoperative care of the facial laceration.面部裂伤的术后护理。
Craniomaxillofac Trauma Reconstr. 2010 Dec;3(4):189-200. doi: 10.1055/s-0030-1268516.
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Can sutures get wet? Prospective randomised controlled trial of wound management in general practice.缝线能沾水吗?全科医疗中伤口处理的前瞻性随机对照试验。
BMJ. 2006 May 6;332(7549):1053-6. doi: 10.1136/bmj.38800.628704.AE. Epub 2006 Apr 24.