Decubitus ulcers can be treated with topical dressings, topical antiseptics and other medications, followed by oral pain medications, antibiotic medications and other treatments if symptoms are severe, and surgical treatments if necessary.
1. External dressings:
(1) Common dressings: mainly including hydrocolloid dressing, alginate dressing, silver-containing dressings, antibiotic dressings, gauze dressings, etc., which can effectively protect the wound from contamination, absorb the exudate fluid, fill the necrotic cavity defects, and reduce the symptoms of edema.
(2) Biological dressings: including skin substitutes, xenografts, allografts and so on.
(2) Topical antiseptics: For patients with infections, topical antiseptics can be applied to alleviate the symptoms, such as the common iodine compounds of slow-release cardimidium iodine and silver compounds of silver sulfadiazine.
3. Oral medication: For patients with severe pain, oral analgesic medication can be taken to relieve the pain, such as ibuprofen, naproxen sodium and other non-steroidal anti-inflammatory drugs, which can reduce the pain. For patients with ulcers and infections, antibiotics can be used under the guidance of a doctor, such as amoxicillin, etc., can prevent sepsis and osteomyelitis and other complications.
4. Surgery: such as debridement, for patients with more necrotic tissue, local anesthesia drugs can be injected into the affected area, and then surgical excision, high-pressure water jet, ultrasound, enzymes, etc. can be used to clean up wounds and promote healing; for severe bedsores that cannot heal on their own, skin restoration is also needed to close the wound.
Therefore, the specific application of what drugs or how to treat, need to be under the guidance of a professional doctor, according to the patient’s condition to choose.