Horzic M, Bunoza D, Maric K
Ostomy Wound Manage. 1996 Jan-Feb;42(1):36-8, 40-2, 44.
Occurrences in the wound until complete healing are manifested in different ways, one of which is temperature change. The aim of this study was establish if there is regularity in temperature changes in wounds healing by primary intention. Thirty examinees (27 female, 3 male) admitted for gallstone surgery were included. Temperature was measured for eight post-operative days at a fixed time each day and in the same room using the semi-quantitative, contact method of liquid crystal strips. The findings demonstrated that there were few differences among the collective thermal images of individual examines for any given post-operative day. During the first 3 post-operative days, the temperatures rose, with few differences between the temperatures of the wounds and their wider surroundings. From day 4 through 8, the temperatures of the wounds and surroundings fell gradually. Stitches were removed on day 7, and on day 8 only the narrow zones of the incision sites were warmer than the surroundings. The findings suggest that there is regularity in the course of temperature of the surgical wound in primary healing. The clinical implications are that the persistence of a wider zone of increased temperature after day 4 predicts the possibility of wound infection and disturbed healing.
伤口直至完全愈合期间的情况会以不同方式表现出来，其中之一就是温度变化。本研究的目的是确定一期愈合伤口的温度变化是否存在规律。纳入了30名因胆结石手术入院的受试者（27名女性，3名男性）。术后8天每天在固定时间且在同一房间内使用液晶条半定量接触法测量体温。研究结果表明，在任何给定的术后日，个体受试者的总体热图像之间差异不大。术后前3天，体温上升，伤口温度与其周围较宽区域的温度差异不大。从第4天到第8天，伤口及周围温度逐渐下降。第7天拆线，第8天仅切口部位的狭窄区域比周围更温暖。研究结果表明，一期愈合手术伤口的温度变化过程存在规律。临床意义在于，术后第4天之后较宽温度升高区域持续存在预示着伤口感染和愈合受干扰的可能性。
