Gethin Georgina, Ivory John D, Sezgin Duygu, Muller Hendrik, O'Connor Gerard, Vellinga Akke
School of Nursing and Midwifery, NUI Galway, Galway, Ireland.
Alliance for Research and Innovation in Wounds, NUI Galway, Galway, Ireland.
Wound Repair Regen. 2021 Sep;29(5):843-847. doi: 10.1111/wrr.12930. Epub 2021 May 22.
Wound bed temperature measurement holds the potential to be a safe, easy to use, and low-cost tool to aid objective wound bed assessment, clinical decision making and improved patient outcomes. However, there is no consensus on the normal range of wound bed temperature in chronic wounds. We conducted a scoping review including any study type, from 2010 to 2020 in which chronic wound bed temperature was reported. Thirteen studies including 477 patients met our criteria. Venous ulcers (VLU) accounted for 46.5% (n = 222) of wounds; diabetic foot ulcers (DFU) for 25.4% (n = 121) with pressure ulcers (PU), mixed arterial venous ulcers (MAVLU) and unknown aetiology accounting for the remainder. The weighted mean of means for wound bed temperature was 31.7°C (n = 395) for all wound types; 31.7°C for VLU; 31.6°C for DFU; 33.3°C for PU; 30.9°C for MAVLU; and 32.0°C for those with unknown aetiology. Based on our review, we hypothesise that normal wound bed temperature is within a range of 30.2-33.0°C.
伤口床温度测量有可能成为一种安全、易用且低成本的工具，有助于客观评估伤口床、进行临床决策并改善患者预后。然而，对于慢性伤口床温度的正常范围尚无共识。我们进行了一项范围综述，纳入了2010年至2020年期间报告慢性伤口床温度的任何研究类型。13项研究共477例患者符合我们的标准。静脉溃疡（VLU）占伤口的46.5%（n = 222）；糖尿病足溃疡（DFU）占25.4%（n = 121），其余为压疮（PU）、动静脉混合溃疡（MAVLU）和病因不明的溃疡。所有伤口类型的伤口床温度加权平均均值为31.7°C（n = 395）；VLU为31.7°C；DFU为31.6°C；PU为33.3°C；MAVLU为30.9°C；病因不明者为32.0°C。基于我们的综述，我们假设正常伤口床温度范围在30.2 - 33.0°C之间。
