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[激光辐射下化脓性伤口的微生物学]

[Microbiology of suppurative wound in laser radiation].

作者信息

Cherkasskaia R S, Nesterova S M, Efendiev A I, Tseĭtlina A I

出版信息

Khirurgiia (Mosk). 1994 Jun(6):32-5.

PMID:7933886
Abstract

Comparative quantitative and qualitative appraisal of purulent lesions of the soft tissues in surgical patients treated with the infrared lasers "Uzor" (pulse) and "Skalyar (continuous) and by the traditional methods (antibiotics, antiseptics, ointments) was conducted under clinical conditions. Abscesses, mastitis, and phlegmons were studied before and after the operation and on the 3rd, 6th, and 12th postoperative day. It was found that Staphylococcus aureus in a monoculture was the etiological cause of purulent infection in 75.2% of cases. The bactericidal effect of pulse and continuous infrared irradiation led to a decrease in the number of infected patients and more rapid cleansing of the wound. In treatment with Skalyar the focus of affection was cleaned completely by the 6th day. Qualitative improvement of the cultural, biochemical, and lysogenic properties and antibiotic sensitivity of the staphylococcus isolated from patients in dynamics during irradiation did not occur.

摘要

在临床条件下,对接受红外激光“Uzor”(脉冲式)和“Skalyar”(连续式)治疗以及传统方法(抗生素、防腐剂、软膏)治疗的外科患者软组织化脓性病变进行了比较性定量和定性评估。对脓肿、乳腺炎和蜂窝织炎在手术前后以及术后第3天、第6天和第12天进行了研究。结果发现,单一培养的金黄色葡萄球菌是75.2%病例中化脓性感染的病因。脉冲和连续红外照射的杀菌作用导致感染患者数量减少,伤口清洁更快。在使用“Skalyar”治疗时,到第6天感染灶已完全清除。照射期间从患者分离出的葡萄球菌的培养、生化和溶原特性以及抗生素敏感性在动态过程中未出现定性改善。

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