切换至 "中华医学电子期刊资源库"

中华临床医师杂志(电子版) ›› 2021, Vol. 15 ›› Issue (02) : 129 -132. doi: 10.3877/cma.j.issn.1674-0785.2021.02.009

所属专题: 文献

综述

自来水冲洗创面的应用现状
潘选良1,()   
  1. 1. 杭州 310009,浙江大学医学院附属第二医院烧伤与创面修复科
  • 收稿日期:2020-08-19 出版日期:2021-02-15
  • 通信作者: 潘选良
  • 基金资助:
    浙江省医药卫生科技计划项目(2017KY361)

Application of water for wound cleansing

Xuanliang. Pan1,()   

  1. 1. Department of Burn and Wound Repair, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
  • Received:2020-08-19 Published:2021-02-15
  • Corresponding author: Xuanliang. Pan
引用本文:

潘选良. 自来水冲洗创面的应用现状[J]. 中华临床医师杂志(电子版), 2021, 15(02): 129-132.

Xuanliang. Pan. Application of water for wound cleansing[J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(02): 129-132.

自来水作为创面清洗剂被越来越多的研究,并因其有效性、易获得性和更高成本效益得到越来越广泛的推荐。但国内针对自来水冲洗创面的研究不多,应用亦少。本文对国内外自来水冲洗创面的研究及应用现状进行了综述。

Tap water as a wound flushing agent has been increasingly studied and accepted for its effectiveness, accessibility, and more cost-effectiveness. However, the research and application of tap water for wound washing in China are less. This paper reviews the research and application of tap water for wound cleansing both in China and other countries.

1
Weiss EA, Oldham G, Lin M, et al. Water is a safe and effective alternative to sterile normal saline for wound irrigation prior to suturing: a prospective, double-blind, randomised, controlled clinical trial [J]. BMJ Open, 2013, 3(1): e001504.
2
Wilkins RG, Unverdorben M. Wound cleaning and wound healing: a concise review [J]. Adv Skin Wound Care, 2013, 26(4): 160-163.
3
Fernandez R, Griffiths R. Water for wound cleansing [J]. Cochrane Database Syst Rev, 2012 (2): CD003861.
4
Wright EH, Harris AL, Furniss D. Cooling of burns: mechanisms and models [J]. Burns, 2015, 41(5): 882-889.
5
Wood FM, Phillips M, Jovic T, et al. Water first aid is beneficial in humans post-burn: evidence from a bi-national cohort study [J]. PLoS One, 2016, 11(1): e0147259.
6
World Health Organization. Burns[EB/OL]. 2018-03-06.

URL    
7
ISBI Practice Guidelines Committee, Advisory Subcommittee, Steering Subcommittee. ISBI practice guidelines for burn care, part 2 [J]. Burns, 2018, 44(7): 1617-1706.
8
中华医学会. 临床诊疗指南·烧伤外科学分册 [M]. 北京: 人民卫生出版社, 2007: 11-12.
9
Fadeyibi IO, Ibrahim NA, Mustafa IA, et al. Practice of first aid in burn related injuries in a developing country [J]. Burns, 2015, 41(6): 1322-1332.
10
Sahu SA, Agrawal K, Patel PK. Scald burn, a preventable injury: analysis of 4306 patients from a major tertiary care center [J]. Burns, 2016, 42(8): 1844-1849.
11
Huang CY, Choong MY, Li TS. Cleansing of wounds by tap water? An evidenced based systemic analysis [J]. Int Wound J, 2015, 12(4): 493-494.
12
Chan MC, Cheung K, Leung P. Tap water versus sterile normal saline in wound swabbing: a double-blind randomized controlled trial [J]. J Wound Ostomy Continence Nurs, 2016, 43(2): 140-147.
13
Huang CY, Choong MY. Comparison of wounds' infection rate between tap water and normal saline cleansing: A meta-analysis of randomised control trials [J]. Int Wound J, 2019, 16(1): 300-301.
14
Potter BK. From bench to bedside: irrigation-time for something better than salt water? [J]. Clin Orthop Relat Res, 2018, 476(8): 1573-1574.
15
Lalonde D, Joukhadar Potter BK. From bench to bedside: irrigation-time for something better than salt water? [J]. Clin Orthop Relat Res, 2018, 476(8): 1573-1574.N, Janis J. Simple effective ways to care for skin wounds and incisions [J]. Plast Reconstr Surg Glob Open, 2019, 7(10): e2471.
16
Sabapathy SR, Venkatramani H, Mohan M. Initial assessment, debridement, and decision making in the salvage of severely injured lower extremity [J]. Indian J Plast Surg, 2019, 52(1): 10-16.
17
Yotsu RR. Integrated management of skin NTDs-lessons learned from existing practice and field research [J]. Trop Med Infect Dis, 2018, 3(4): 120.
18
Mani R, Margolis DJ, Shukla V, et al. Optimizing technology use for chronic lower-extremity wound healing: a consensus document [J]. Int J Low Extrem Wounds, 2016, 15(2): 102-119.
19
Game FL, Attinger C, Hartemann A, et al. IWGDF guidance on use of interventions to enhance the healing of chronic ulcers of the foot in diabetes [J]. Diabetes Metab Res Rev, 2016, 32(Suppl 1): 75-83.
20
王丽姿, 李亚洁, 张洪涛. 自来水冲洗火器伤口的实验研究 [J]. 解放军护理杂志, 2003, 20(8): 16-17.
21
黄建强. 自来水冲洗联合谷红注射液静滴对糖尿病足溃疡促愈合作用的研究 [D]. 福州: 福建中医药大学, 2014.
22
常贵建, 夏印, 吴淑桃, 等.自来水冲洗对糖尿病足溃疡愈合的疗效观察 [J].中国当代医药, 2016, 23(14): 28-30.
23
董炜, 肖玉瑞, 吴敏洁, 等. 中国慢性难愈性创面诊疗思路及原则 [J]. 中华烧伤杂志, 2018, 34(12): 868-873.
24
梁东雅, 王筑, 孙志勇, 等. 肛周疾病术后创面自来水冲洗、坐浴的疗效分析 [J]. 云南医药, 2020, 41(1): 33-34.
25
许腊梅, 于艳丽. 微信互动在老年慢性伤口患者居家护理中的应用 [J/OL]. 实用临床护理学电子杂志, 2018, 3(36): 99-100.
26
杨川.《国际糖尿病足工作组糖尿病足慢性创面处理指南》中文译文 [J]. 糖尿病临床, 2015, 9(10): 502-506.
27
潘选良, 韩春茂. 《优化技术在下肢慢性创面愈合中的应用共识》简介 [J].中华烧伤杂志, 2017, 33(9): 589-591.
28
Nagoba BS, Suryawanshi NM, Selkar SP. Cleansing of wounds by tap water? Would it be safe to use in developing countries? [J]. Int Wound J, 2016, 13(5): 1071.
29
Ozturk S, Mutluoglu M. Burn wound cooling with tap water: is it safe in developing countries or not? [J]. Int Wound J, 2016, 13(5): 1083.
30
刘文君, 王小(仛, 王占生. 饮用水水质标准的发展:从卫生、安全到健康的理念 [J]. 给水排水, 2017, 43(10): 1-3, 61.
31
黄琨, 李珏涵. 我国饮用水卫生标准现状 [J]. 企业科技与发展, 2018 (4): 228-230.
[1] 陈宏兴, 张立军, 张勇, 李虎, 周驰, 凡一诺. 膝骨关节炎关节镜清理术后中药外用疗效的Meta分析[J]. 中华关节外科杂志(电子版), 2023, 17(05): 663-672.
[2] 周胜虎, 李峰, 程永刚, 刘浩, 张浩强, 甄平, 乔永杰. 清创保留假体联合抗生素治疗膝关节置换术后急性感染[J]. 中华关节外科杂志(电子版), 2022, 16(04): 497-501.
[3] 赵永辉, 范新宇, 王腾, 蔡兴博, 何晓清, 冯凡哲, 卜鹏飞, 徐永清. 保留假体清创术在膝关节假体周围感染中的应用[J]. 中华关节外科杂志(电子版), 2020, 14(05): 632-635.
[4] 何泽亮, 李锦, 张程亮, 随振阳, 安亮恩, 刘玲玲, 姚媛媛, 张聚磊, 仇树林, 李晓东. 采用超声清创联合负压吸引疗法治疗深度烧伤溶痂创面的临床观察[J]. 中华损伤与修复杂志(电子版), 2023, 18(02): 123-127.
[5] 杨晓宇, 付倩倩, 张苗苗, 赵雅玫, 余小平, 周军利. 甘肃省某三甲医院糖尿病足患者创面感染病原菌及相关因素分析[J]. 中华损伤与修复杂志(电子版), 2023, 18(01): 16-24.
[6] 郑刚, 谢志, 黄涛, 谷才之. 自体邮票植皮术联合冲洗治疗在烧伤患者中的疗效观察[J]. 中华损伤与修复杂志(电子版), 2022, 17(02): 141-144.
[7] 钟云雪, 李莉, 王达利, 唐铭远, 彭晓峰, 陈伟, 胡春, 黄广涛, 魏在荣. 扩创联合抗生素骨水泥在严重感染糖尿病足溃疡治疗中的应用研究[J]. 中华损伤与修复杂志(电子版), 2022, 17(01): 60-64.
[8] 王威, 韩斌如, 吴英锋, 罗涛, 崔世军, 郭连瑞, 佟铸. 糖尿病足肌筋膜间隙感染清创方法的分析[J]. 中华损伤与修复杂志(电子版), 2021, 16(06): 532-535.
[9] 姜笃银, 贾珊珊, 王兴蕾. 烧伤治疗与创面修复[J]. 中华损伤与修复杂志(电子版), 2021, 16(04): 283-288.
[10] 王磊, 蔡玉辉, 胡克苏, 朱兴华, 张逸. 水动力清创系统用于深Ⅱ度烧伤创面治疗临床疗效的回顾性研究[J]. 中华损伤与修复杂志(电子版), 2021, 16(03): 245-250.
[11] 许月芳, 张辉, 曾妙甜, 朱自满. 坏死性筋膜炎病例特征及感染病原菌分析[J]. 中华普外科手术学杂志(电子版), 2022, 16(05): 564-567.
[12] 杨娟, 杨先芹, 张岚, 郭中东, 罗耀兵. 两种清创术治疗急性胰腺炎所致感染性胰腺坏死的临床效果研究[J]. 中华普外科手术学杂志(电子版), 2021, 15(06): 668-671.
[13] 付中国, 曾松录. 肩关节表面置换术的进展及应用[J]. 中华肩肘外科电子杂志, 2022, 10(02): 190-190.
[14] 傅佰圣, 李庆虎, 王大伟, 陶扶林, 王永会. 扩髓清创联合单边外固定架治疗长骨骨折髓内钉术后慢性感染的研究[J]. 中华老年骨科与康复电子杂志, 2023, 09(05): 289-294.
[15] 叶曙明, 孙健, 汪祥, 荆珏华. 不同手术入路治疗老年胸腰椎结核的手术疗效分析[J]. 中华老年骨科与康复电子杂志, 2022, 08(04): 231-236.
阅读次数
全文


摘要