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1、碘伏联合新鲜芦荟外敷治疗IV期压疮疗效观察doi：10.3969/j.issn.1007-614x.2014.10.58摘要目的：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，用经过酒精消毒的丿J片将芦荟皮祛除，将芦荟胶状物直接敷贴在疮面±,1次/H。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/口。观察两组
2、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）o结论：碘伏联合新鲜芦荟外敷操作简单、经济，疗效显著。关键词压疮碘伏新鲜芦荟外敷CurativeeffectobservationofiodophorcombinedwithfreshaloeexternalapplicationinthetreatmentofIVphaseofpressureulcersKongGuifen,YangJianpingThePeople，sHospitalofChuxiongState,
3、Yunnan675000AbstractObjective:Toinvestigatetheeffectofiodophorcombinedwithfreshaloeexternolapplicationinthetreatmentofpressureulcers.Methods:85patientswithIVphaseofpressureulcerswererandomlydividedintotheobservationgroupwith43casesandthecontrolgroupwith42cases・Intheobservation
4、group,wecleanedthepressurewoundby3%hydrogenperoxidesolutionfirst,thencleanedwithphysiologicalsaline,andthenweusedthediluteiodinevoltssoak,2times/day,weclearedthesecretionsafter4〜6days,atthesametimewecombinedwiththenecessaryafterdcbridcmcnl.Aflorthat,wecleancclfroshaloeveraleav
5、esbywater,thenremovedthealoeskinbybladeswhichhadbeendisinfectedwithalcohol,thenweputthealoegumapplicatordirectlyonthewoundsurface,1time/day.Inthecontrolgroup：wecleanedthepressurewoundby3%hydrogenperoxidesolutionfirst,thencleanedwithphysiologicalsaline,andthenweusedtheamikacins
6、oak,1time/day.Weobservedtheclinicalefficacyofthetwogroups.Results：Thetreatmenttotaleffectiverateoftheobservationgroupwassignificantlyhigherthanthatofthecontrolgroup(P<0.01)；granulationgrowthtimeandtimeneededfortreatmentoftheobservationgroupweresignificantlyshortenedthanthatoft
7、hecontrolgroup(P<0.01).Conclusion：Theadvantagesofiodophorcombinedwithfreshaloeexternalapplicationwerealot,suchasitcanbeoperatedeasyly,anditiseconomyandsignificanteffect.KeywordsPressureulcers；Iodophor；Freshaloe；Externalapplication压疮又称褥疮、压力性溃疡，是由于患者局部组织长期受压，影响血液循环，导致皮肤和皮下组织发生持续
8、缺血、缺氧、营养不良，形成血液阻塞的坏死状态。在临床护理研究中，压疮是一个普通性的问题，更是评价护理工作质量和管理水平的一
