Use of sugar and povidone-iodine in the treatment of refractory cutaneous ulcers
Use of sugar and povidone-iodine in the treatment of refractory cutaneous ulcers
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糖和聚维酮碘在治疗难治性皮肤溃疡中的用途
DOI：
10.3109/09546639009086730
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
S. Imamura
中科院分区：
文献类型：
--
作者：
Y. Miyachi;S. Imamura
在过去的3年里，我们使用了70%的糖和3%的聚维酮碘与工业开发的改进车辆的制剂治疗168例难治性皮肤溃疡患者。患者表现为创伤性溃疡（70例）、静脉和缺血性溃疡（52例）、烧伤后溃疡（35例）和糖尿病溃疡（11例）。每天更换药剂，持续4周，导致肉芽组织快速形成，水肿减少，伤口清洁。治疗后的伤口测量显示尺寸减小了66.7%，深度减小了63.6%。77.6%的患者的总体评估为“良好”至“非常好”。还证实细菌感染的清除令人满意。在10.7%的病例（18例）中观察到不良反应，其中大多数在第一个小时内为短暂的刺痛和可耐受的刺激。即使在糖尿病患者中也未观察到对糖代谢的不良影响。该药剂使用方便，效果好，价格低廉，可推荐用于临床。
Over the past 3 years, we have used a preparation of 70% sugar and 3% povidone-iodine with an improved vehicle developed by industry to treat 168 patients with refractory cutaneous ulcers. The patients presented with traumatic ulcers (70), venous and ischaemic ulcers (52), post-burn ulcers (35) and diabetic ulcers (11). Daily changes of the agent for 4 weeks resulted in rapid formation of granulation tissue, reduced oedema and cleaning of the wound. Measurement of the wound after the treatment showed 66.7% reduction in size and 63.6% decrease in depth. The global assessment of all patients was ‘good’ to ‘very good’ in 77.6%. Satisfactory clearing of bacterial infections was also confirmed. Adverse effects were observed in 10.7% of the cases (18) and most of them were transient smarting and tolerable irritation during the first hour. No undesirable effect on sugar metabolism was observed even in diabetic patients. This agent was easy to use, was very effective and inexpensive, and thus can be recommended f...