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[术中局部应用聚乙烯吡咯烷酮碘对阑尾切除术后伤口感染风险的影响]

[Effect of intraoperative local polyvinylpyrrolidone iodine administration on the risk of wound infection following appendectomy].

作者信息

Eggert A, Baumann M

机构信息

Abteilung für Chirurgie, Allgemeinen Krankenhauses Hamburg-Bergedorf.

出版信息

Zentralbl Chir. 1988;113(6):391-6.

PMID:3389001
Abstract

A study conducted into 91 appendectomised patients revealed wound infection rates to worsen from eight to 26 per cent (p less than 0.05) in the wake of locally delimited intra-operative application of povidone-iodine solution, two per cent in concentration. No other factors were found to be responsible for that aggravation. Tissue toxicity was found to outweight bactericidal effects, even with application in diluted and PVP-bonded form. Hence, povidone-iodine solutions not even in diluted form should ever be applied to wound treatment.

摘要

一项针对91名接受阑尾切除术患者的研究表明,在术中局部使用浓度为2%的聚维酮碘溶液后,伤口感染率从8%恶化至26%(p小于0.05)。未发现其他因素导致这种恶化情况。即使以稀释和PVP结合的形式使用,也发现组织毒性超过杀菌效果。因此,聚维酮碘溶液甚至稀释形式也不应应用于伤口治疗。

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