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皮肤溃疡局部治疗方法的基本要点。

Fundamental aspects of the local approach to cutaneous ulcers.

作者信息

Colenci Raquel, Abbade Luciana Patricia Fernandes

机构信息

Technical Section of Nursing in Dermatology, Hospital das Clínicas, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu (SP), Brazil.

Department of Dermatology, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu (SP), Brazil.

出版信息

An Bras Dermatol. 2018 Nov/Dec;93(6):859-870. doi: 10.1590/abd1806-4841.20187812.


DOI:10.1590/abd1806-4841.20187812
PMID:30484531
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6256234/
Abstract

Ulcers or wounds can be classified as acute or chronic. Their treatment involves overall assessment of the patient and choice of suitable local therapy, and the appropriate indication and use of products. Technological progress in the field of wound treatment has increased rapidly. Constant updating, with emphasis on available scientific evidence, is necessary to offer the best approaches to patients with acute and chronic wounds. A qualitative analysis of literature was conducted to identify scientific publications that update the concepts involved in local wound treatment, to present some resources that can aid the healing process and describe the different types of dressings available. This review includes wound assessment using the acronym TIME (tissue, infection/inflammation, moisture balance and edge of wound), cleaning and debridement, infection/inflammation control, exudate control, dressing types and main indications.

摘要

溃疡或伤口可分为急性和慢性。其治疗包括对患者进行全面评估以及选择合适的局部治疗方法,还有产品的恰当适应证和使用方法。伤口治疗领域的技术进步迅速。不断更新,同时强调现有科学证据,对于为急性和慢性伤口患者提供最佳治疗方法是必要的。进行了一项文献定性分析,以确定更新局部伤口治疗相关概念的科学出版物,介绍一些有助于愈合过程的资源,并描述可用的不同类型敷料。本综述包括使用首字母缩写词TIME(组织、感染/炎症、水分平衡和伤口边缘)进行伤口评估、清洁和清创、感染/炎症控制、渗出液控制、敷料类型及主要适应证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/844052308963/abd-93-06-0859-g08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/685a20686885/abd-93-06-0859-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/3a1d76d91ec1/abd-93-06-0859-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/58a3a9ae112a/abd-93-06-0859-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/6eed40501063/abd-93-06-0859-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/aa1c050b037d/abd-93-06-0859-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/ce640a371206/abd-93-06-0859-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/4b51e173f730/abd-93-06-0859-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/844052308963/abd-93-06-0859-g08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/685a20686885/abd-93-06-0859-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/3a1d76d91ec1/abd-93-06-0859-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/58a3a9ae112a/abd-93-06-0859-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/6eed40501063/abd-93-06-0859-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/aa1c050b037d/abd-93-06-0859-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/ce640a371206/abd-93-06-0859-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/4b51e173f730/abd-93-06-0859-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d8/6256234/844052308963/abd-93-06-0859-g08.jpg

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本文引用的文献

[1]
Effect of cadexomer iodine on the microbial load and diversity of chronic non-healing diabetic foot ulcers complicated by biofilm in vivo.

J Antimicrob Chemother. 2017-7-1

[2]
Microbial Biofilms and Chronic Wounds.

Microorganisms. 2017-3-7

[3]
Autolysis: mechanisms of action in the removal of devitalised tissue.

Br J Nurs. 2016-11-10

[4]
Effectiveness of Pressure Ulcer Prevention Strategies for Adult Patients in Intensive Care Units: A Systematic Review.

Worldviews Evid Based Nurs. 2016-12

[5]
A Comprehensive Review of Topical Odor-Controlling Treatment Options for Chronic Wounds.

J Wound Ostomy Continence Nurs. 2016

[6]
Wound bed preparation: TIME for an update.

Int Wound J. 2016-9

[7]
Clinical safety and effectiveness evaluation of a new antimicrobial wound dressing designed to manage exudate, infection and biofilm.

Int Wound J. 2016-3-22

[8]
What's new in wound treatment: a critical appraisal.

Diabetes Metab Res Rev. 2016-1

[9]
Optimizing Wound Bed Preparation With Collagenase Enzymatic Debridement.

J Am Coll Clin Wound Spec. 2015-8-15

[10]
Debridement for venous leg ulcers.

Cochrane Database Syst Rev. 2015-9-14

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