Colenci Raquel, Abbade Luciana Patricia Fernandes
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.
An Bras Dermatol. 2018 Nov/Dec;93(6):859-870. doi: 10.1590/abd1806-4841.20187812.
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.
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。
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