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首页> 外文期刊>Journal of orthopaedic nursing >Comparison of povidone-iodine solution and soft white paraffin ointment in the management of skeletal pin-sites: A pilot study
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Comparison of povidone-iodine solution and soft white paraffin ointment in the management of skeletal pin-sites: A pilot study

机译：聚维酮碘溶液和白色软石蜡软膏在骨骼针部位治疗中的比较：一项初步研究

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Povidone-iodine solution is currently employed for pin-site care in many institutions. There are concerns that this agent reacts with the metal pins and can impede healing. This study compared two different treatment protocols for the care of the skin surrounding skeletal pin-sites.This practical clinical trial, employing stratified sampling, compared 10% cutaneous povidone-iodine solution with soft white paraffin ointment for the treatment of skeletal pin-sites. The end points of the study were the presence of clinical signs of pin-site inflammation and/or infection and pin removed as treatment was completed. Data were analysed on 116 pin-sites from 18 patients. Seventy-two pins (62%) were treated with povidone-iodine and 44 (37.9%) with paraffin ointment. The group treated with soft white paraffin ointment more frequently developed clinical signs of infection (n = 15; 34.1%) than the povidone-iodine treatment group (n = 13; 18.1%) (x2 (df) = 3.8(1); p = 0.05). Also, 43.8% of pin-sites on the medial aspect of the lower leg displayed inflammation/infection compared with 16.7% of other lower limb pin-sites (x2 (df) = 9.28(1); p = 0.002).The use of an antibacterial agent in the management of skeletal pin-sites reduces the likelihood of infection. Further studies are needed to determine whether anatomical position of the pin-site is a risk factor for the development of pin-site infection and whether intervention could reduce inflammation/infection at medial lower limb pin-sites.
机译：聚乙烯吡咯烷酮碘溶液目前在许多机构中用于针脚部位护理。人们担心该试剂会与金属针发生反应，并可能阻碍愈合。本研究比较了两种不同的治疗方案，以分层的方式对10个皮肤聚维酮碘溶液与白色软石蜡软膏进行治疗，比较了两种不同的治疗方案。研究的终点是存在针刺部位炎症和/或感染的临床体征，并在治疗完成后拔出针刺。分析了来自18位患者的116个针脚部位的数据。七十二针（62％）用聚维酮碘治疗，44针（37.9％）用石蜡软膏治疗。软质白色石蜡软膏治疗组比聚维酮碘治疗组（n = 13; 18.1％）更容易出现临床感染症状（n = 15; 34.1％）（x2（df）= 3.8（1）; p = 0.05）。此外，小腿内侧的43.8％的针状部位显示出炎症/感染，而其他下肢的针状部位则为16.7％（x2（df）= 9.28（1）; p = 0.002）。骨骼针部位管理中的抗菌剂可降低感染的可能性。需要进一步的研究来确定针状部位的解剖位置是否是针状部位感染发展的危险因素，以及干预措施是否可以减少下肢内侧针状部位的炎症/感染。

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