聚维酮碘混合美宝与新型湿性敷料治疗压疮疗效比较的研究

Comparative research on curative effects of povldone iodine combined with MEBO and new dressing in the treatment for pressure ulcer

目的通过采用聚维酮碘软膏按比例混合美宝湿润烧伤膏与安普贴等新型湿性敷料治疗Ⅱ～Ⅳ期压疮的疗效比较和费用比较的研究，探讨一种价廉又效果显著，同时适合基层医院临床与社区Ⅱ-Ⅳ期压疮的治疗方法。方法实验组30例压疮患者采用聚维酮碘按比例混合美宝治疗Ⅱ～Ⅳ期压疮与对照组30例压疮患者采用安普贴等新型湿性敷料治疗各期压疮的疗效及换药费用比较。结果两组治疗均能促进压疮愈合。但实验组平均治愈的时间短于对照组，而压疮每次每处换药费用明显少于对照组，差异有显著性（P〈0．05）。结论与安普贴等新型湿性敷料比较，聚维酮碘按比例混合美宝治疗Ⅱ期～Ⅳ期压疮，疗效更佳价钱更便宜。值得在基层医院临床及社区推广应用。

Objective To explore and find a kind of method which is cheap and effective, at the same time suitable for primary hospital clinical and community II to IV stage pressure sore treatment, through the use of povidone iodine ointment combined with MEBO and Anpu plaster and other new types of wet dressing in the treatment of stage II to IV pressure ulcer comparison of efficacy and cost comparison research. Methods 30 cases of bedsore in the experimental group were treated with povidone iodine combined with MEBO according to the proportion of stage II to IV pressure ulcers and 30 cases patients with pressure sores in the control group with Algoplaque new wet dressing in treatment of different stage and dressing cost comparison of curative effect of pressure sore patients. Results Two groups of treatment could both promote healing of pressure ulcers. But the average healing time in the experimental group was shorter than that of the control group, and every dressing costs of pressure sores was significantly less than that of control group. The difference was statistically significant （P 〈 0.05）. Conclusion Compared with Anpu piaster and other new types of wet dressing, povidone iodine combined with MEBO according to the proportion of stage II to IV stage pressure sore, the therapeutic effect is better and cheaper, worth in primary hospital clinical and community promotion application.