中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
10期
88-89
,共2页
压疮%碘伏%新鲜芦荟%外敷
壓瘡%碘伏%新鮮蘆薈%外敷
압창%전복%신선호회%외부
Pressure ulcers%Iodophor%Fresh aloe%External application
目的：探讨外用碘伏联合新鲜芦荟治疗压疮的效果。方法：将85例Ⅳ期压疮患者随机分成观察组43例和对照组42例。观察组压疮先用3%过氧化氢溶液清洗，再用生理盐水清洗，然后用稀碘伏湿敷，2次/日，4～6天清除分泌物，必要时的清创，然后用自来水将新鲜芦荟叶片清洗干净，用经过酒精消毒的刀片将芦荟皮祛除，将芦荟胶状物直接敷贴在疮面上，1次/日。对照组：先用3%过氧化氢溶液清洗，再用生理盐水清洗，然后给予阿米卡星湿敷，1次/日。观察两组的临床疗效。结果：观察组治疗总有效率显著高于对照组(P＜0.01)；肉芽生长时间和治疗所需时间比对照组均明显缩短(P均＜0.01)。结论：碘伏联合新鲜芦荟外敷操作简单、经济，疗效显著。
目的：探討外用碘伏聯閤新鮮蘆薈治療壓瘡的效果。方法：將85例Ⅳ期壓瘡患者隨機分成觀察組43例和對照組42例。觀察組壓瘡先用3%過氧化氫溶液清洗，再用生理鹽水清洗，然後用稀碘伏濕敷，2次/日，4～6天清除分泌物，必要時的清創，然後用自來水將新鮮蘆薈葉片清洗榦淨，用經過酒精消毒的刀片將蘆薈皮祛除，將蘆薈膠狀物直接敷貼在瘡麵上，1次/日。對照組：先用3%過氧化氫溶液清洗，再用生理鹽水清洗，然後給予阿米卡星濕敷，1次/日。觀察兩組的臨床療效。結果：觀察組治療總有效率顯著高于對照組(P＜0.01)；肉芽生長時間和治療所需時間比對照組均明顯縮短(P均＜0.01)。結論：碘伏聯閤新鮮蘆薈外敷操作簡單、經濟，療效顯著。
목적：탐토외용전복연합신선호회치료압창적효과。방법：장85례Ⅳ기압창환자수궤분성관찰조43례화대조조42례。관찰조압창선용3%과양화경용액청세，재용생리염수청세，연후용희전복습부，2차/일，4～6천청제분비물，필요시적청창，연후용자래수장신선호회협편청세간정，용경과주정소독적도편장호회피거제，장호회효상물직접부첩재창면상，1차/일。대조조：선용3%과양화경용액청세，재용생리염수청세，연후급여아미잡성습부，1차/일。관찰량조적림상료효。결과：관찰조치료총유효솔현저고우대조조(P＜0.01)；육아생장시간화치료소수시간비대조조균명현축단(P균＜0.01)。결론：전복연합신선호회외부조작간단、경제，료효현저。
Objective:To investigate the effect of iodophor combined with fresh aloe external application in the treatment of pressure ulcers.Methods:85 patients with Ⅳ phase of pressure ulcers were randomly divided into the observation group with 43 cases and the control group with 42 cases.In the observation group,we cleaned the pressure wound by 3% hydrogen peroxide solution first,then cleaned with physiological saline,and then we used the dilute iodine volts soak,2 times/day,we cleared the secretions after 4~6 days,at the same time we combined with the necessary after debridement.After that,we cleaned fresh aloe vera leaves by water,then removed the aloe skin by blades which had been disinfected with alcohol,then we put the aloe gum applicator directly on the wound surface,1 time/day.In the control group:we cleaned the pressure wound by 3% hydrogen peroxide solution first, then cleaned with physiological saline, and then we used the amikacin soak,1 time/day.We observed the clinical efficacy of the two groups.Results:The treatment total effective rate of the observation group was significantly higher than that of the control group(P<0.01);granulation growth time and time needed for treatment of the observation group were significantly shortened than that of the control group(P<0.01).Conclusion:The advantages of iodophor combined with fresh aloe external application were a lot,such as it can be operated easyly,and it is economy and significant effect.
