建议应用自来水冲洗代替生理盐水清洁皮肤创面

罗高兴; 詹日兴; 袁志强; 宋华培; 向飞; 马思远; 李海胜; 钱卫; 谭江琳; 彭毅志

doi:10.3760/cma.j.cn501225-20250108-00015

建议应用自来水冲洗代替生理盐水清洁皮肤创面

doi: 10.3760/cma.j.cn501225-20250108-00015

陆军军医大学（第三军医大学）第一附属医院全军烧伤研究所,创伤与化学中毒国家重点实验室,重庆市创面修复与组织再生重点实验室,重庆　　400038

基金项目:

国家重点研发计划 2021YFA1101100

重庆市自然科学基金创新群体项目 cstc2019jcyj-cxttX0001

详细信息

通讯作者:
罗高兴,Email：logxw@tmmu.edu.cn

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- 文章访问数: 183
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- 被引次数: 0
出版历程
- 收稿日期: 2025-01-08

Cleansing skin wound by irrigation with tap water replacing normal saline

Institute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing Key Laboratory for Wound Repair and Tissue Regeneration, Chongqing 400038, China

Funds:

National Key Research and Development Plan of China 2021YFA1101100

Chongqing Natural Science Foundation Innovation Group Project cstc2019jcyj-cxttX0001

More Information

Corresponding author: Luo Gaoxing, Email: logxw@tmmu.edu.cn

摘要

摘要: 创面清洗是皮肤创面治疗的基本环节,可起到去除创面坏死组织碎屑与异物、减少创面微生物负荷及阻止细菌生物膜形成等作用,进而达到防止创面感染和优化创面愈合环境的目的。既往大量随机对照研究和荟萃分析均得出一致结论,即应用自来水冲洗与应用无菌生理盐水冲洗清洁皮肤创面对创面感染发生率、愈合率等的影响均无明显差异。结合目前国内医护收费政策的现实要求,笔者团队提出应用自来水冲洗代替生理盐水等医用清洗液清洁皮肤创面的建议。
- 伤口愈合 /
- 伤口感染 /
- 创面清洁 /
- 自来水 /
- 生理盐水
Abstract: Wound cleansing is an essential step in skin wound management. It can prevent local infection and optimize healing micro-environment by removing necrotic tissue and foreign matter, reducing microbial load, breaking bacterial biofilm formation and so on. Many randomized controlled trials and meta-analysis abroad have concluded that there is no significant difference in the incidence of wound infection and healing rate between the wounds irrigated with tap water and with sterile normal saline for skin wound cleansing. Considering the current requirements of medical fee policies in China, we recommend the use of tap water instead of saline or other wound cleansing solutions for cleansing skin wounds.
- Wound healing /
- Wound infection /
- Wound cleansing /
- Tap water /
- Normal saline
所有作者声明不存在利益冲突

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参考文献(40)

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