产程中阴道检查代替肛门检查的临床观察

目的 探讨在产程的观察过程中使用碘伏消毒行阴道检查替代肛门检查的临产观察.方法 在产程观察过程中使用使用-山东利尔康碘伏消毒液,其有效碘含量在4.5~5.5/15%的碘伏消毒会阴部行阴道检查(以下用5%的碘伏或碘伏表示).结果 310例产妇无一人感染,可靠率100%.结论 在产程观察过程中,使用5%的碘伏消毒会阴部行阴道检查替代肛门检查在临产上是可以使用的.     

Effectiveness of 2 Pretreatment Methods in Antifogging of Goggles in a COVID-19 Isolation Ward: A Randomized Controlled Trial

IntroductionThis study aimed to compare the effectiveness of the pretreatment of goggles with iodophor solution and antibacterial hand sanitizer to reduce the fogging of goggles.MethodsA total of 90 health care workers were divided into a control group (n = 30), an iodophor solution group (n = 30), and an antibacterial hand sanitizer group (n = 30). This study evaluated the degree of fogging of goggles and the light transmission, comfort, eye irritation, and the impact of goggles on the medical work of staff.ResultsThe antibacterial hand sanitizer group had the lowest amount of goggle fogging and the most transparent view. Participants in the control group reported the worst light transmission and comfort level, followed by the iodophor solution group. In contrast, the goggles in the antibacterial hand sanitizer group had the best light transmission and comfort level. The iodophor solution group participants reported more eye irritation. Participants in the control group reported that the goggles severely impacted their medical work, with a less severe impact reported by the iodophor solution group. The antibacterial hand sanitizer group did not report any impact on their medical work.DiscussionWhen the goggles were internally coated with antibacterial hand sanitizer solution (diluted 1:1 with distilled water), the antifog effect was significant. Moreover, the goggles treated with antibacterial hand sanitizer had a clearer field of vision, were reported as non-irritating to the eyes, and significantly improved the efficiency of COVID-19 health care workers, including emergency nurses and providers.     

两种皮肤消毒液对青霉素皮试结果的影响

目的 观察0．5％碘伏与75％乙醇两种皮肤消毒方法对青霉素皮试结果的影响。方法 选择2004年6月-2006年6月内科住院患者500例，分组间对照组（n=250）及自身对照组（n=250）进行研究。观察0．5％碘伏和75％乙醇两种皮肤消毒液作青霉素皮试后出现的假阳性率。结果 组间对照组及自身对照组青霉素皮试假阳性率。75％乙醇消毒分别为10．8％和12％；0．5％碘伏消毒均为0．8％（P〈0．05）。结论 0．5％碘伏替代75％乙醇作青霉素皮试消毒液可减少青霉素皮试假阳性反应的发生，有助于更好地判断皮试结果。     

超声引导下经皮穿刺联合碘伏注射治疗肾囊肿的应用研究

目的探讨超声引导下经皮穿刺联合碘伏注射治疗肾囊肿的疗效及应用价值。方法选取143例肾囊肿患者,随机分为两组,分别行超声引导下经皮穿刺联合碘伏注射治疗肾囊肿(为试验组,70例),以及超声引导下经皮穿刺联合无水酒精注射治疗肾囊肿(为对照组,73例),并于术后1周、3月、12月对比观察两组的治疗效果及并发症。结果术后1周、3月、12月,两组总有效率对比均具有统计学意义(P<0.05)。结论超声引导下经皮穿刺联合碘伏注射治疗肾囊肿具有疗效好、创伤小、方便经济等优点,可以作为基层医院肾囊肿的首选治疗方法,值得临床推广应用。     

病灶清创碘伏灭菌后植骨治疗慢性胫骨骨髓炎

目的了解采用病灶清除碘伏灭菌,择期植骨方法治疗慢性骨髓炎的特点优势。方法通过清创术后持续碘伏纱布条填塞湿敷,再行髓腔内植骨手术。结果临床应用18例,17例（94.4%）治愈,1例复发。结论病灶清创后开放碘伏持续湿敷,再行植骨的治疗方法可靠,能提高慢性胫骨骨髓炎的治愈率。     

碘伏消毒的临床观察——Ⅰ.术前刷手及患者皮肤消毒的效果

应用军事医学科学研究院研制的碘伏产品碘伏一号,分5组进行术前手消毒效果的观察。以常规术前酒精消毒为对照,结果表明:0.5％碘伏一号水溶液泡手及刷手效果最佳,我国应提倡大量投产此剂。     

白芨胶、碘伏、MEBO治疗面部深Ⅱ度烧伤创面疗效观察

目的：观察白芨胶、碘肽、MEBO治疗面部深Ⅱ度烧伤创面的疗效。方法：各选择50例面部深Ⅱ度烧伤创面分别采用上述三种药物治疗。观察创面疼痛、感染、愈合时间、愈后瘢痕。结果：MEBO治疗组在控制创面疼痛、感染、愈合时间、愈后瘢痕上明显优于其它二组。而碘伏湿敷组优于白芨胶烤照组。结论：湿润烧伤膏（MEBO）在治疗面部深Ⅱ度烧伤创面上具有明显的优势。应作为此类烧伤创面常规用药。     

碘伏润滑预防留置尿管尿路感染的效果观察

目的观察0．5％碘伏消毒外阴及尿道口并润滑导尿管,对预防导尿和留置导尿管尿路感染的临床效果。方法将需导尿和留置导尿管的神经外科、普外科、泌尿外科患者100例,随机分为对照组50例和实验组50例。对照组用0．1％新洁尔灭消毒外阴及尿道口,用消毒石蜡油润滑导尿管进行导尿;实验组采用0．5％碘伏消毒外阴、尿道口,并用0．5％碘伏润滑尿管进行导尿。结果对照组尿路感染发生率为12％,实验组尿路感染发生率为4％,差异有显著性（P〈0．05％）。结论0．5％碘伏消毒外阴及尿道口并润滑导尿管,可降低导尿和留置导尿管引起的尿路感染,减少院内感染的发生。     

碘伏换药治疗糖尿病足溃疡的疗效观察

目的观察碘伏换药治疗糖尿病足溃疡的临床效果。方法将糖尿病足溃疡患者156例随机分为观察组84例和对照组72例。对照组采用常规换药方法治疗,观察组采用碘伏换药方法治疗。治疗后比较2组临床疗效、换药次数及愈合时间。结果观察组总有效率为95.2%高于对照组的88.9%,换药次数少于对照组,愈合时间短于对照组,差异均有统计学意义(P<0.05)。结论碘伏换药用于糖尿病足溃疡可大大提高糖尿病足的治愈率,缩短住院时间,且操作简单,值得推广应用。     

湿润烧伤膏、碘伏、磺胺嘧啶银糊及雷夫诺尔治疗115例深Ⅱ度烧伤的效果比较

对115例深Ⅱ度烧伤分别使用湿润烧伤膏、0.25％碘伏、磺胺嘧啶银糊及0.1％雷夫诺尔液进行治疗,结果表明:深Ⅱ度烧伤使用湿润烧伤膏在创面愈合、抑菌效果、治疗费用及瘢痕增生等方面存在明显不足。因此,建议深Ⅱ度烧伤应慎重使用湿润烧伤膏。