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使用局部聚维酮碘治疗难愈合伤口或维持性伤口

Management of non-healable or maintenance wounds with topical povidone iodine.

作者信息

Woo Kevin Y

机构信息

School of Nursing, Queen's University, Kingston, Ontario, K7L 3N6, Canada.

出版信息

Int Wound J. 2014 Dec;11(6):622-6. doi: 10.1111/iwj.12017. Epub 2013 Jan 4.

DOI:10.1111/iwj.12017
PMID:23289876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7950472/
Abstract

Although complete healing may appear to be the logical goal for most patients and clinicians, some wounds do not have the potential to heal due to a number of factors such as inadequate vasculature, coexisting medical conditions and medications that prohibit the healing process. Local management of wounds that are considered to have poor potential for healing remains elusive. The purpose of this article is to review the evidence that supports the use of topical antiseptic agents in non-healable wounds. Retrospective chart audit was conducted to evaluate the use of povidone iodine in the management of wounds that were deemed to have poor healing potential.

摘要

尽管完全愈合似乎是大多数患者和临床医生的合理目标,但由于多种因素,如血管供应不足、并存的医疗状况以及阻碍愈合过程的药物,一些伤口没有愈合的可能。对于那些被认为愈合潜力较差的伤口,其局部处理方法仍然难以捉摸。本文的目的是回顾支持在不可愈合伤口中使用局部抗菌剂的证据。我们进行了回顾性病历审核,以评估聚维酮碘在处理被认为愈合潜力较差的伤口中的应用情况。

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本文引用的文献

1
Special considerations in wound bed preparation 2011: an update©.2011 年伤口床准备的特殊考虑因素:更新版©。
Adv Skin Wound Care. 2011 Sep;24(9):415-36; quiz 437-8. doi: 10.1097/01.ASW.0000405216.27050.97.
2
The use of antimicrobial dressings in chronic wounds: NERDS and STONEES principles.抗菌敷料在慢性伤口中的应用:NERDS和STONEES原则。
Surg Technol Int. 2010 Oct;20:73-82.
3
Local wound care for malignant and palliative wounds.恶性和姑息性伤口的局部伤口护理。
Adv Skin Wound Care. 2010 Sep;23(9):417-28; quiz 429-30. doi: 10.1097/01.ASW.0000383206.32244.e2.
4
Effect of rinsing with povidone-iodine on bacteraemia due to scaling: a randomized-controlled trial.聚维酮碘冲洗对洁治术所致菌血症的影响:一项随机对照试验。
J Clin Periodontol. 2007 Feb;34(2):148-55. doi: 10.1111/j.1600-051X.2006.01025.x.
5
Povidone-iodine-induced burn: case report and review of the literature.聚维酮碘所致烧伤:病例报告及文献综述
Pharmacotherapy. 2006 Nov;26(11):1641-5. doi: 10.1592/phco.26.11.1641.
6
Irritant contact dermatitis with a vasculitic-like pattern from PVP-I.聚维酮碘引起的具有血管炎样表现的刺激性接触性皮炎。
Contact Dermatitis. 2006 Nov;55(5):304-5. doi: 10.1111/j.1600-0536.2006.00624.x.
7
Effect of oropharyngeal decontamination by povidone-iodine on ventilator-associated pneumonia in patients with head trauma.聚维酮碘进行口咽去污对颅脑外伤患者呼吸机相关性肺炎的影响。
Crit Care Med. 2006 May;34(5):1514-9. doi: 10.1097/01.CCM.0000214516.73076.82.
8
Topical application of povidone-iodine solution (Betadine) in the management of giant omphaloceles.聚维酮碘溶液(碘伏)局部应用于巨大脐膨出的治疗。
Dermatology. 2006;212 Suppl 1:88-90. doi: 10.1159/000089205.
9
Quality control in chronic wound management: the role of local povidone-iodine (Betadine) therapy.慢性伤口管理中的质量控制:局部聚维酮碘(碘伏)治疗的作用
Dermatology. 2006;212 Suppl 1:82-7. doi: 10.1159/000089204.
10
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Dermatology. 2006;212 Suppl 1:66-76. doi: 10.1159/000089202.