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利宝平,童 梅,林敏华

广州市海珠区妇幼保健院 广东广州

【摘要】腋臭微创清除术是当前治疗腋臭的常见方法,而专业到位的腋臭微创清除术护理,是提升手术效果、

加快患者康复进度的必要条件。本文主要对腋臭微创清除术的护理研究进展进行全面分析,重点阐明术前、术中、

术后等护理环节要点,以期为腋臭微创清除术护理实践提供相应指导依据。

【关键词】腋臭微创清除术;护理;研究进展

【收稿日期】2025 年 11 月 13 日 【出刊日期】2025 年 12 月 10 日 【DOI】10.12208/j.ijnr.20250621

A review of nursing research progress in minimally invasive surgery for axillary osmidrosis

Baoping Li, Mei Tong, Minhua Lin

Haizhu District Maternal and Child Health Care Hospital of Guangzhou, Guangzhou, Guangdong

AbstractMinimally invasive surgery for axillary osmidrosis is a common treatment for bromhidrosis. High-quality nursing care plays a crucial role in improving surgical outcomes and promoting patient recovery. This paper provides a comprehensive analysis of research progress in nursing care for minimally invasive axillary osmidrosis surgery, with a focus on preoperative, intraoperative, and postoperative nursing. The aim is to offer practical guidance for clinical nursing practice in this field.

Keywords】Minimally invasive surgery for axillary osmidrosis; Nursing; Research progress

Alfredo E. Hoyos,MDD;Mauricio E. Perez Pachon,MDD;
Matt Stefanelli,MD;Mariana Borras Osorio, MD; Justo Calderon
Mendoza,MSc;Maria Paula Castiblanco,MD;
Mateo Leon Machicado,MD;and Andres Pinzon Valero,MD

Abstract
Background: Despite the general safety of liposuction and fat grafting procedures,surgical-site infections (SSIs) remain a significant concern. These infections, ranging from minor to severe,can arise from various sources and pose a substantial burden. The overuse of antibiotics has led to increased antimicrobial resistance,highlighting the need for alternative infection prevention strategies like stabilized hypochlorous acid (s-HOCl). Objectives: The aim of the authors of this study is to evaluate the efficacy and safety of s-HOCl in preventing SSIs following liposculpture and other body contouring procedures. Methods: A prospective cohort study and matched control cohort were conducted at a single plastic surgery center in Bogota,Colombia (Dhara Clinic). Adult patients scheduled for liposculpture and fat grafting from January 2020 to December 2023 formed the intervention group,receiving s-HOCl as a washing solution for adipose grafts. A matched control cohort was drawn from patients who underwent similar procedures from January 2017 to December 2019 without s-HOCl. Data on demographics,surgical characteristics,and SSI outcomes were collected and analyzed. Results: A total of 1008 patients were included,with 502 in the s-HOCl group and 506 in the control group. The infection rate in the s-HOCl group was 0.2 per 100 grafted muscles, compared with 0.54 in the control group. Relative risk of SSIs in the s-HOCl group was 0.4,indicating a reduction in infection rates. The small absolute risk reduction of 0.59% underscores the clinical importance,considering SSIs, although rare,are severe and life-threatening events,with significant impact on outcomes and healthcare costs. A reduction in the severity of infection and the level of required treatment was also observed. Conclusions: s-HOCl demonstrated potential to reduce SSI risk following liposuction and fat grafting. This intervention offers a valuable alternative to antibiotics,effectively reducing infection rates and contributing to improved patient outcomes and public health in postantibiotic era.

王昳娜1何振华1,周瑾1孙晓芬2

1.绍兴文理学院元培学院,浙江 312000;2.浙江中医药大学附属第二医院

Research progress on the application of hypochlorous acid in wound care

WANG Yi'na,HE Zhenhua,ZHOU Jin,SUN Xiaofen

Shaoxing University,Yuanpei College,Zhejiang 312000 China

Keywords hypochlorous acid solution;wound;infection;bacterial biofilm;clinical application;review

摘要 介绍了次氯酸溶液的发展史、杀菌机制、特点、与其他伤口清洁消毒剂的比较、使用方法以及当前研究的不足,旨在为次氯酸

溶液在伤口治疗、护理中的应用提供依据。

关键词 次氯酸溶液;伤口;感染;细菌生物膜;临床应用;综述

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