Department of Dermatology, Duke University, Durham, North Carolina.
Vanderbilt School of Medicine, Vanderbilt University, Nashville, Tennessee.
J Am Acad Dermatol. 2016 Apr;74(4):607-25; quiz 625-6. doi: 10.1016/j.jaad.2015.08.070.
In the United States, chronic ulcers--including decubitus, vascular, inflammatory, and rheumatologic subtypes--affect >6 million people, with increasing numbers anticipated in our growing elderly and diabetic populations. These wounds cause significant morbidity and mortality and lead to significant medical costs. Preventative and treatment measures include disease-specific approaches and the use of moisture retentive dressings and adjunctive topical therapies to promote healing. In this article, we discuss recent advances in wound care technology and current management guidelines for the treatment of wounds and ulcers.
在美国,慢性溃疡——包括压疮、血管性、炎症性和风湿性亚型——影响超过 600 万人,预计在我们不断增长的老年和糖尿病人群中,这一数字还会增加。这些伤口会导致严重的发病率和死亡率,并导致巨大的医疗费用。预防和治疗措施包括针对特定疾病的方法以及使用保湿敷料和辅助局部治疗来促进愈合。在本文中,我们讨论了伤口护理技术的最新进展以及目前治疗伤口和溃疡的管理指南。