摘要
目的为提高糖尿病患者肢端慢性溃疡的治疗效果、减少致残率，探索一种简单、有效地治疗方法。方法54例糖尿病肢端溃疡的患者在控制血糖的同时，2次／d用35～40℃碘伏稀释液局部浸浴患肢，每次浸浴时间30min。结果全部患者的肢端溃疡在1～4个月愈合，平均（2．3±0．56）个月，恢复肢体功能，此后长期随访，疗效稳定。结论碘伏稀释液局部浸浴患肢，既有利于患肢控制感染及引流，又有效地改善局部微循环，保证组织修复；本疗法操作简单、方便，费用低，没有明显的不良反应，可作为糖尿病慢性创面的常规治疗方法之一。
OBJECTIVE Chronic ulcers on the limbs are a common problem in diabetic patients with pathological changes in nerve and vessels. Such ulcers can result in disablement and may even be life-threatening. The treatment of these chronic ulcers is a difficult issue in current medical practice. The development of an effective and easily handled treatment is, therefore, an important topic in the management of diabetes to improve patients＇ quality of life. METHODS Povidone iodine water bath was given to 54 diabetes patients with chronic ulcer on their limbs at a time when their glucose levels were controlled by insulin to FBG 〈7mmol/L, PBG 9mmol/L at meantime. RESULTS The ulcer lesion completely healed and limb function was fully restored in all 54 patients over a period of 1-4 months （mean 2.3 ± 0.56 months）. After 0.5-2 years follow-up, all patients were in a stable condition, with no recurrence of the ulcers. CONCLUSIONS The povidone iodine water bath therapy is an effective, low cost and easily handled method of treatment of chronic ulcers associated with diabetes. The method directly maintains the ulcer lesion in a disbacterial and moist condition so that the pain can be relieved without taking pain killers or extra antibiotics. The povidone iodine water bath also improves local circulation, speeding up the healing of the lesion. No side effects of the method have been observed.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2007年第2期172-174,共3页
Chinese Journal of Nosocomiology
关键词
糖尿病
慢性溃疡
碘伏溶液
Diabetes
Chronic ulcers
Povidone iodine
