局部负压伤口疗法对高热复合创伤兔体温的影响 - 中文word文档库.DOC

更多相关文档免费下载请登录: -中文word文档库 本文档由【中文word文档库】提供，转载分发敬请保留本信息； 中文word文档库免费提供海量范文、教育、学习、政策、报告和经济类word文档。 ng Medical University, Guangzhou 510282 China) 摘要：目的：探讨高温高湿环境下局部负压伤口治疗对兔体温的影响。方法：以兔背部皮肤全层皮肤缺损的急性创面为模型，将24创伤兔随机分为常温对照组、常温实验组、高温对照组、高温实验组，每组6只。实验组给予局部负压伤口治疗，对照组用纱布覆盖，不给予负压引流。创伤后每１h监测Tr一次。结果：高温暴露的两组兔肛温较常温环境下的两组明显增高（P0.05），与高温对照组比较，高温实验组肛温明显降低P0.05）。结论：高温高湿环境是导致创伤兔肛温升高的重要因素，局部负压伤口疗法可有效缓解高温复合创伤兔的肛温，阻止热损伤对创面局部及全身的影响。 关键词：创伤；高温；高湿；肛温；负压 Abstract: Aim: To study the effects of topical negative pressure wound therapy (TNP) for rabbits’ anal temperature of acute wound under high temperature and high humidity condition. Method: After the acute whole –skin-loss wounds model of rabbit backside were established, a total of 24 rabbits were divided into 4 groups equally (6 rabbits each) and randomly as normal temperature control (NEC), ordinary temperature experiment (NET),high-temperature control (HHC), and high-temperature experiment (HHT). The rabbits of HHE and NEE were treated with TNP, and the rabbits of HHC and NEC were treated with normal dressing. All rabbits’ anal temperature was recorded once per hour after trauma. Results: Compared with the normal environment (NEC, NEE), the rabbits’ anal temperature in the groups of the hot and humid environment (HHC, HHE) increased significantly after trauma (p0.05). Compared with control groups (NEC, HHC), the rabbits’ anal temperature in the experiment groups (NET, HHT) decreased significantly after trauma (p0.05). Conclusion: Ａhigh temperature and high humidity circumstance is one of important influence factors that cause the rabbits’ anal temperature rising of acute wound . The rabbits’ anal temperature of acute wound under high temperature and high humidity condition can be efficiently counteracted by topical negative pressure wound therapy. Key wound: trauma; high-temperature; high-humidity; anal temperature; negative pressure 高温高湿环境下战创伤有不同于一般环境下的特殊规律，容易导致伤员伤后的一系列病理生理变化更快、更急、更重，伤情更为复杂[1]，从而增加了战创伤死亡率、并发症和致残率，因此，对战伤救护提出了更高的要求。负压伤