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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摘耍目的：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，必耍时的清创，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而上，1次/1_1。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
2、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。关键词压疮碘伏新鲜芦荟外敷CurativeeffectobservationofiodophorcombinedwithfreshaloeexternalapplicationinthetreatmentofTVphaseofpressureulcersKongGuifen,YangJianpingThePeo
3、ple5sHospitaiofChuxiongState,Yunnan675000AbstractObjective：Toinvestigatetheeffectofiodophorcombinedwithfreshaloeexternalapplicationinthetreatmentofpressureulcers.Methods：85patientswithIVphaseofpressureulcerswererandomlydividedintotheobservationgroupwith43casesand
4、thecontrolgroupwith42cases・Tntheobservationgroup,wecleanedthepressurewoundby3%hydrogenperoxidesolutionfirst,thencleanedwithphysiologicalsaline,andthenweusedthediluteiodinevoltssoak,2times/day,weclearedthesecretionsafter4〜6days,atthesametimewecombinedwiththenecess
5、aryafterdebridement.Afterthat,wecleanedfreshaloeveraleavesbywater,thenremovedthealoeskinbybladeswhichhadbeendisinfectedwithalcohol,thenweputthealoegumapplicatordirectlyonthewoundsurface,1time/day.Inthecontrolgroup：wecleanedthepressurewoundby3%hydrogenperoxidesolu
6、tionfirst,thencleanedwithphysiologicalsaline,andthenweusedtheamikacinsoak,1time/day.Weobservedtheclinicalefficacyofthetwogroups.Results：Thetreatmenttotaleffectiverateoftheobservationgroupwassignificantlyhigherthanthatofthecontrolgroup(P<0.01)；granulationgrowthtim
7、eandtimeneededfortreatmentoftheobservationgroupweresignificantlyshortenedthanthatofthecontrolgroup(P<0.01)・Conelusion：Theadvantagesofiodophorcombinedwithfreshaloeexternalapplicationwerealot,suchasitcanbeoperatedeasyly,anditiseconomyandsignificanteffect・KeywordsPr
8、essureulcers；Iodophor；Freshaloe；Externalapplication压疮乂称褥疮、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
