Marinović M, Fumić N, Laginja S, Smokrović E, Bakota B, Bekić M, Čoklo M
Acta Med Croatica. 2016;70 Suppl 1:65-8.
The ever improving health standards in terms of quality and more efficient health care result in an increase in life expectancy, thus increasing the number of elderly people in the population. A higher level of activity in elderly population leads to greater incidence of injuries, and on the other hand, there is an increasing number of comorbidities. Circulatory disorders, diabetes mellitus, metabolic imbalances, etc. and a reduced biological potential of tissue regeneration result in an increased number of chronic wounds that pose a significant health, social and economic burden on the society. These conditions require significant involvement of medical and non-medical staff in pre-hospital institutions. Significant material and other health care resources are allocated for the treatment of chronic wounds. These conditions result in a lower quality of life of patients and their families and caregivers. Debridement is a crucial medical procedure for the treatment of acute and chronic wounds. The result of debridement is removal of all barriers within and around the wound that obstruct physiological processes of wound healing. Debridement is a repeating process when indicated. There are several types of debridement, each with its advantages and disadvantages. The method of debridement should be determined by the physician or other professional trained person on the basis of wound characteristics and in accordance with their expertise and capabilities. In the same wound, we can combine different types of debridement, all with the goal of faster and better wound healing.
在医疗质量和效率方面不断提高的健康标准使得预期寿命增加，从而导致人口中老年人口数量增多。老年人群中较高的活动水平导致受伤发生率更高，另一方面，共病数量也在增加。循环系统疾病、糖尿病、代谢失衡等以及组织再生的生物潜能降低，导致慢性伤口数量增加，给社会带来了重大的健康、社会和经济负担。这些情况需要院前机构的医疗和非医疗人员大量参与。为治疗慢性伤口分配了大量的物质和其他医疗资源。这些情况导致患者及其家庭和护理人员的生活质量降低。清创术是治疗急性和慢性伤口的关键医疗程序。清创的结果是清除伤口内部和周围所有阻碍伤口愈合生理过程的屏障。如有需要，清创是一个重复的过程。有几种清创类型，每种都有其优缺点。清创方法应由医生或其他受过培训的专业人员根据伤口特征并按照他们的专业知识和能力来确定。在同一伤口中，我们可以结合不同类型的清创，所有这些都是为了更快更好地促进伤口愈合。
