土耳其一家军队医院中蛆虫清创疗法治疗慢性伤口的研究
Maggot debridement therapy in the treatment of chronic wounds in a military hospital setup in Turkey.
作者信息
Tanyuksel Mehmet, Araz Engin, Dundar Kadir, Uzun Gunalp, Gumus Tuna, Alten Bulent, Saylam Fatma, Taylan-Ozkan Aysegul, Mumcuoglu Kosta Y
机构信息
Division of Medical Parasitology, Gulhane Military Medical Academy, Ankara, Turkey.
出版信息
Dermatology. 2005;210(2):115-8. doi: 10.1159/000082566.
BACKGROUND
The medicinal use of maggots for the biological debridement of chronic wounds is increasing around the world, due to its efficacy, safety and simplicity. Thousands of patients have been treated in private and governmental hospitals during the last 10 years.
OBJECTIVE
To examine the efficacy of maggot debridement therapy (MDT) in the debridement of chronic wounds in a military hospital.
METHODS
MDT was applied for 1-9 days to 7 male and 4 female soldiers or their family members (21-72 years old) with chronic wounds.
RESULTS
Complete debridement was achieved in 10 out of 11 patients, while in 1 patient the wound could be cleaned only partially. A remarkable reduction in the odor emanating from the wound and notable granulation were observed in all debrided wounds. Increased pain was observed in 1 patient with a venous stasis ulcer.
CONCLUSION
We believe that MDT is a rapid and effective method for the debridement of chronic wounds in a military environment especially in times of war in developing countries.
背景
由于蛆虫疗法在慢性伤口生物清创方面具有疗效、安全性和简便性，其在全球范围内的应用正在增加。在过去10年中，已有数千名患者在私立和公立医院接受了治疗。
目的
研究蛆虫清创疗法（MDT）在一家军队医院慢性伤口清创中的疗效。
方法
对7名男性和4名女性士兵或其家属（年龄在21至72岁之间）的慢性伤口应用MDT 1至9天。
结果
11名患者中有10名实现了完全清创，而1名患者的伤口仅得到部分清理。在所有清创后的伤口中，均观察到伤口异味显著减少且有明显的肉芽组织生长。1名患有静脉淤滞性溃疡的患者出现疼痛加剧。
结论
我们认为，MDT是在军事环境中，特别是在发展中国家战争时期对慢性伤口进行清创的一种快速有效的方法。
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