碘纺纱条在下肢静脉性溃疡护理中的应用

王燕; 周云; 沈超; 吴昊; 孙蓬

doi:10.7619/jcmp.201922027

碘纺纱条在下肢静脉性溃疡护理中的应用

Application of iodoform gauze in nursing of lower extremity venous ulceration

摘要

摘要:
目的探讨碘纺纱条对下肢静脉性溃疡的临床疗效。
方法选择本院接受创面换药治疗的下肢静脉性溃疡患者104例，分为对照组61例和观察组43例，对照组采用凡士林纱布或无菌纱布覆盖创面，观察组采用碘纺纱条，记录2组溃疡愈合率、溃疡面收缩率(3周)、愈合时间，溃疡愈合患者随访6个月，记录溃疡复发率及复发时间。
结果观察组愈合率、溃疡面积收缩率、愈合时间均显著优于对照组(P＜0.05); 2组溃疡复发率比较差异无统计学意义(P>0.05), 而对照组复发时间显著早于观察组(P＜0.05)。
结论碘纺纱布应用于下肢静脉性溃疡可以有效促进溃疡愈合，延缓复发，具有安全、有效、经济的优点。

Abstract:
Objective To observe the clinical effect of iodoform gauze in the nursing of lower extremity venous ulceration.
Methods A total of 104 patients with venous ulceration of lower extremity treated by wound dressing change were divided into control group (61 cases) and observation group (43 cases). The control group was covered with vaseline gauze or sterilized gauze, while the observation group was covered with iodoform gauze. The ulcer healing rate, shrinkage rate of wound surface at 3 weeks of treatment, healing time were compared. The ulcer recurrence rate and recurrence time of ulcer were recorded after 6-month follow-up.
Results The healing rate, shrinkage rate of ulcer area and its healing time in the observation group were better than that in the control group (P < 0.05). The recurrence rate of ulcers in the two groups showed no significant difference (P>0.05). The recurrence time in the observation group was longer than that of the control group (P < 0.05).
Conclusion Iodoform gauze can effectively promote venous ulceration healing and delay recurrence, and it has the advantages of safety, effectiveness and low-price.

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