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[蛆虫疗法:家庭护理案例研究]

[MAGGOT THERAPY: CASE STUDY IN HOME CARE].

作者信息

Martínez Faura María Dolores, Franco Romero Maite, Ordoño Martínez Carmen, García Mallo Mónica E

出版信息

Rev Enferm. 2016 Apr;39(4):26-9.

PMID:27349059
Abstract

INTRODUCTION

Maggot therapy is a wound bed preparation method of ancestral use. Its use was relegated with the emergence of antibiotics, until today, where is reemerging as an option in the treatment of chronic wounds.

METHODOLOGY

We report a case study where a six months wound in diabetic foot with torpid evolution and with several changes of ineffective treatment, improved in 3-4 days after the use of maggot therapy at home; leaving the wound bed prepared for the process of granulation.

RESULTS

As could see, after four days from the application of maggot therapy, the wound bed was free of slough, also decreasing exudation and edema. Leaving the optimal conditions for wound healing. It was assessed by the VAS scale decreased pain after dressing changes. It was demonstrated that maggot therapy can be used in home or community care without inconvenience.

CONCLUSION

The maggot therapy is a method of debridement fast, effective and safe, this method can be used in home care.

摘要

引言

蛆虫疗法是一种祖传的伤口床准备方法。随着抗生素的出现,其应用逐渐减少,直到如今,它作为慢性伤口治疗的一种选择再次出现。

方法

我们报告了一个病例研究,一名患有糖尿病足且伤口持续六个月、进展缓慢且经历多次无效治疗的患者,在家中使用蛆虫疗法后3 - 4天病情得到改善;伤口床为肉芽形成过程做好了准备。

结果

可以看到,在应用蛆虫疗法四天后,伤口床没有了腐肉,渗出物和水肿也有所减少。为伤口愈合创造了最佳条件。通过视觉模拟评分法(VAS)评估,换药后疼痛减轻。结果表明,蛆虫疗法可用于家庭或社区护理且无不便之处。

结论

蛆虫疗法是一种快速、有效且安全的清创方法,该方法可用于家庭护理。

相似文献

1
[MAGGOT THERAPY: CASE STUDY IN HOME CARE].[蛆虫疗法:家庭护理案例研究]
Rev Enferm. 2016 Apr;39(4):26-9.
2
Maggot debridement therapy in chronic wound care.蛆虫清创疗法在慢性伤口护理中的应用
Hong Kong Med J. 2007 Oct;13(5):382-6.
3
Maggot therapy for treating diabetic foot ulcers unresponsive to conventional therapy.蛆虫疗法治疗对传统疗法无反应的糖尿病足溃疡。
Diabetes Care. 2003 Feb;26(2):446-51. doi: 10.2337/diacare.26.2.446.
4
Maggot debridement therapy promotes diabetic foot wound healing by up-regulating endothelial cell activity.蛆虫清创疗法通过上调内皮细胞活性促进糖尿病足伤口愈合。
J Diabetes Complications. 2016 Mar;30(2):318-22. doi: 10.1016/j.jdiacomp.2015.11.009. Epub 2015 Nov 17.
5
The use of maggot debridement therapy in the treatment of chronic wounds in hospitalised and ambulatory patients.蛆虫清创疗法在住院患者和门诊患者慢性伤口治疗中的应用。
J Wound Care. 2012 Feb;21(2):78, 80, 82-85. doi: 10.12968/jowc.2012.21.2.78.
6
Determining pain levels in patients treated with maggot debridement therapy.确定接受蛆虫清创疗法治疗患者的疼痛程度。
J Wound Care. 2005 Nov;14(10):485-8. doi: 10.12968/jowc.2005.14.10.26846.
7
Maggot therapy in "lower-extremity hospice" wound care: fewer amputations and more antibiotic-free days.
J Am Podiatr Med Assoc. 2005 May-Jun;95(3):254-7. doi: 10.7547/0950254.
8
[Maggot therapy in wound management].[蛆虫疗法在伤口处理中的应用]
Tidsskr Nor Laegeforen. 2009 Sep 24;129(18):1864-7. doi: 10.4045/tidsskr.08.0656.
9
Changing attitudes toward maggot debridement therapy in wound treatment: a review and discussion.伤口治疗中对蛆虫清创疗法态度的转变:综述与讨论
J Wound Care. 2020 Feb 1;29(Sup2c):S28-S34. doi: 10.12968/jowc.2020.29.Sup2c.S28.
10
[Maggot therapy for gangrene and osteomyelitis].[蛆虫疗法治疗坏疽和骨髓炎]
Harefuah. 1997 Mar 2;132(5):323-5, 382.

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Clinical study of Maggot therapy for Fournier's gangrene.蛆虫疗法治疗 Fournier 坏疽的临床研究。
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