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使用医用蜂蜜、蛆虫疗法和人羊膜进行手术清创治疗糖尿病足伤口:一项病例研究。

Healing of a diabetic foot wound through surgical debridement using med-honey, maggot therapy, and human amniotic membrane: A case study.

作者信息

Babamiri Behnam, Faramarzi Mohammad Reza, Taraj Saman Khan, Faraji Navid, Goli Rasoul, Mohammadi Farshad

机构信息

Department of Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.

Department of Nursing, School of Nursing and Midwifery, Maragheh University of Medical Sciences, Maragheh, East Azerbaijan, Iran.

出版信息

Int J Surg Case Rep. 2024 Sep;122:110041. doi: 10.1016/j.ijscr.2024.110041. Epub 2024 Jul 19.

Abstract

INTRODUCTION AND IMPORTANCE

Diabetic foot ulcers (DFUs) are a common and challenging issue for individuals with diabetes, creating difficulties in effective wound healing and requiring novel treatment methods.

CASE PRESENTATION

The individual, a 46-year-old man, arrived at our clinic with a pressure wound concern. The wound had progressed to where necrotic tissue removal was necessary, accomplished through four sessions of maggot therapy. Following this initial treatment, Med-honey dressing and human amniotic membrane application were used in eight subsequent sessions, resulting in the successful closure of the wound.

DISCUSSION

Treating DFUs presents a significant hurdle in medical practice due to their intricate nature and potential complications. Recent years have seen an increase in the exploration of unconventional and innovative therapies to enhance wound healing outcomes and tackle the multifaceted challenges linked with DFUs.

CONCLUSION

The effective management of the pressure wound in this 46-year-old male patient with a combination of maggot therapy, Med-honey dressing, and human amniotic membrane application highlights the significance of a personalized and interdisciplinary approach in DFUs care.

摘要

引言与重要性

糖尿病足溃疡(DFUs)对于糖尿病患者而言是一个常见且具有挑战性的问题,给有效伤口愈合带来困难,需要新的治疗方法。

病例介绍

该患者为一名46岁男性,因压疮问题前来我们诊所。伤口已发展到需要清除坏死组织的程度,通过四次蛆虫疗法完成了这一操作。在初始治疗之后,后续八次治疗使用了医用蜂蜜敷料和人羊膜,伤口成功愈合。

讨论

由于糖尿病足溃疡的复杂性和潜在并发症,在医学实践中治疗糖尿病足溃疡是一个重大障碍。近年来,为了提高伤口愈合效果并应对与糖尿病足溃疡相关的多方面挑战,对非常规和创新疗法的探索有所增加。

结论

该46岁男性患者的压疮通过蛆虫疗法、医用蜂蜜敷料和人羊膜联合应用得到有效管理,这凸显了在糖尿病足溃疡护理中采用个性化和跨学科方法的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc0/11314859/b9944e7a5865/gr1.jpg

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