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将 Medihoney 用作脊髓损伤患者慢性压疮的非手术治疗。

Use of Medihoney as a non-surgical therapy for chronic pressure ulcers in patients with spinal cord injury.

机构信息

Abteilung für Querschnittgelähmte und Technische Orthopädie der BG-Unfallklinik, Ludwigshafen, Germany.

出版信息

Spinal Cord. 2012 Feb;50(2):165-9. doi: 10.1038/sc.2011.87. Epub 2011 Sep 20.

Abstract

STUDY DESIGN

Prospective, observational study of 20 spinal cord-injured (SCI) patients with chronic pressure ulcers (PUs) using Medihoney.

OBJECTIVES

To determine the effects of Medihoney by bacterial growth, wound size and stage of healing in PUs.

METHODS

We treated 20 SCI adult patients with chronic PUs using Medihoney. In all, 7 patients (35%) were female, and 13 (65%) were male. The average patient age was 48.7 years (30-79). In all, 6 patients (30%) were tetraplegic and 14 (70%) were paraplegic. Also, 5 patients (25%) had grade IV ulcers and 15 patients (75%) had grade III ulcers according to the National Pressure Ulcer Advisory Panel.

RESULTS

After 1 week of treatment with Medihoney, all swabs were void of bacterial growth. Overall 18 patients (90%) showed complete wound healing after a period of 4 weeks, and the resulting scars were soft and elastic. No negative effects were noted from the treatment using Medihoney. No blood sugar level derailment was documented.

CONCLUSION

The medical-honey approach to wound care must be part of a comprehensive conservative surgical wound-care concept. Our study indicates the highly valuable efficacy of honey in wound management and infection control as measured by bacterial growth, wound size and healing stage.

摘要

研究设计

对 20 例脊髓损伤(SCI)并发慢性压疮(PU)的患者进行前瞻性、观察性研究,使用美迪宝(Medihoney)进行治疗。

目的

通过细菌生长、伤口大小和愈合阶段来确定美迪宝对压疮的治疗效果。

方法

我们使用美迪宝治疗 20 例 SCI 成年慢性压疮患者。其中 7 例(35%)为女性,13 例(65%)为男性。患者平均年龄为 48.7 岁(30-79 岁)。其中 6 例(30%)为四肢瘫痪,14 例(70%)为截瘫。根据国家压疮咨询小组的标准,5 例(25%)为 IV 级溃疡,15 例(75%)为 III 级溃疡。

结果

使用美迪宝治疗 1 周后,所有拭子均无细菌生长。4 周后,18 例患者(90%)完全愈合,愈合后的疤痕柔软且有弹性。治疗过程中未观察到美迪宝的任何不良反应。也未记录到血糖水平异常。

结论

在综合保守外科伤口护理方案中,医用蜂蜜处理方法必须成为其中的一部分。我们的研究表明,蜂蜜在伤口管理和感染控制方面具有极高的有效性,可通过细菌生长、伤口大小和愈合阶段来衡量。

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