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任家晨郭一萱刘伟任喜王国强 《实用手外科杂志》2022,(2):267-268
目的 推荐贴膜固定法换药治疗压疮。方法 2020年4月-2021年1月,采用贴膜法换药治疗压疮9例。采用生理盐水清洁创面后取稍大于创面的纱布四层,将橡皮生肌膏涂于纱布上,再取稍大于纱布的保鲜膜覆盖于纱布外面,用纸胶布封边固定,根据情况还可用敷料贴再贴一层。结果 本组9例压疮疮面均痊愈,随访6~12个月,7例愈合后瘢痕已软化,2例当时创面较深部位目前瘢痕仍较硬。结论 采用此方法换药治疗压疮,药物吸收好、不流失、不外溢,创面愈合快、床铺干净,值得临床推广应用。 相似文献
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目的 观察自制双樟膏治疗老年患者压疮的效果.方法 将47例(55处)老年压疮患者随机分为观察组24例(28处)和对照组23例(27处).两组均按照压疮常规的创面处理及护理,在此基础上对照组用碘伏纱布换药,观察组用自制的双樟膏治疗压疮,均换药1~2次/d.连续换药7d后观察疗效.结果 两组疗效及创面愈合时间比较,差异有统计学意义(均P<0.05).结论 应用自制双樟膏治疗老年患者压疮优于传统的碘伏治疗,且缩短创面愈合时间,减轻患者痛苦. 相似文献
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《浙江创伤外科》2019,(5)
目的研究分析bFGF、泡沫敷料联合应用治疗各部位压疮创面效果。方法本研究选取2016年10月至2019年1月本院收治的各部位压疮患者160例,研究人员根据入院顺序将所有患者分为两组。其中A组80例,行压疮创面常规方法治疗;B组80例,行bFGF联合泡沫敷料治疗。观察A组与B组患者治疗过程中换药次数、压疮创面愈合时间及临床疗效。于治疗后的3、7、10天测量血管密度值。结果B组患者治疗过程中换药次数、压疮创面愈合时间明显小于A组患者(P0.05);A组患者治疗后有效率明显低于B组患者(P0.05);A组患者治疗后3、7、10天的血管密度值明显小于B组患者(P0.05)。结论应用bFGF联合泡沫敷料治疗压疮,可以获得较好的临床效果,其可缩短创面愈合时间,提高压疮创面愈合率,适合临床选择应用。 相似文献
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目的探讨愈创膏联合干细胞移植治疗对重度压疮创面愈合及神经生长因子表达的影响。方法选取健康外伤患者30例手术中废弃的正常皮肤及皮下软组织作为对照组,将60例重度压疮患者随机分为两组各30例。观察组应用愈创膏联合庆大霉素纱布常规换药,治疗组应用愈创膏联合脐血干细胞移植治疗。比较治疗组与观察组愈合时间,同时测定三组创面神经生长因子(NGF)含量。结果治疗组创面愈合时间显著短于观察组(P<0.01)。观察组与治疗组治疗前NGF含量显著低于对照组(均P<0.01)。治疗后观察组与治疗组局部NGF含量显著升高,后期治疗6 d达到高峰,10 d逐步趋于正常,治疗组治疗后期3 d、6 dNGF含量显著高于观察组(均P<0.01)。结论愈创膏联合干细胞治疗可加速重度压疮创面的愈合,提高创面组织神经生长因子表达。 相似文献
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辨证施护联合龙珠软膏外敷治疗压疮30例 总被引:4,自引:4,他引:0
目的探讨辨证施护联合龙珠软膏治疗压疮的效果.方法对30例压疮患者在治疗原发病的同时,应用龙珠软膏换药,同时根据气滞血瘀、蕴毒腐溃之实证和气血两虚之虚证行辨证施护.结果治疗5~15d,平均7.5 d,均痊愈,治愈率100%.结论应用龙珠软膏换药及辨证施护治疗压疮,疗效好,疗程短,减轻了患者的痛苦和经济负担. 相似文献
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UPPLEGGER H 《Der Chirurg》1954,25(12):555-558
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C.C. Callander 《Anaesthesia》1988,43(12):1061-1061
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Khosla A Misra S Greene EL Pflueger A Textor SC Bjarnason H McKusick MA 《Vascular and endovascular surgery》2012,46(6):447-454
Purpose: To compare the clinical outcomes in patients with chronic renal insufficiency (CRI) and renal artery stenosis (RAS) following renal artery (RA) stent placement with and without embolic protection device (EPD) usage. Materials and Methods: Eighteen patients who had RA stent placement with EPD were matched to control patients (RA stent only). Blood pressure, number of hypertensive medications, and estimated glomerular filtration rate (eGFR) at 3 months before the procedure and after 12 months were determined. An increase of ≥ 20% in eGFR at 12 months from baseline was defined as "improvement," decrease of ≥20% as "deterioration," and an eGFR change between those values as "stabilization" at 12 months. Results: At 12 months, stage 4 patients treated with EPD had significantly higher eGFR than controls (P = .01). There was no statistical difference in blood pressure outcomes between the 2 groups. Conclusions: Patients with stage 4 CRI did significantly better with EPD than those treated without it. 相似文献
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Intubation with propofol augmented with intravenous lignocaine 总被引:6,自引:0,他引:6
D. Mulholland MB BCh FFARCS FFARCSI Registrar R. J. T. Carlisle MB BCh FFARCSI Consultant 《Anaesthesia》1991,46(4):312-313
Sixty patients of ASA grade 1 and aged 18 to 55 years were admitted to a double-blind study. Anaesthesia was induced with propofol 2.5 mg/kg after intravenous pretreatment with lignocaine 1.5 mg/kg or a similar volume of isotonic saline. The quality of subsequent tracheal intubation was graded and the pressor response to tracheal intubation assessed. There were no significant differences between treatment groups. 相似文献
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Chirag Shah 《Annals of surgical oncology》2018,25(13):3793-3794