Shreiki Hiba, Bashour George, Kinjo Houssam
Faculty of Pharmacy, Tishreen University, Latakia, Syria.
Faculty of Medicine, Tishreen University, Latakia, Syria.
Ann Med Surg (Lond). 2025 Jan 9;87(1):417-420. doi: 10.1097/MS9.0000000000002881. eCollection 2025 Jan.
Chronic venous disease is a commonly underdiagnosed condition that gradually diminishes a patient's quality of life and imposes a growing burden on healthcare resources. Venous leg ulcers (VLUs) arise as a complication of chronic venous insufficiency and represent the most prevalent type of slow-healing wound in the lower extremities.
In this case report, we present the successful treatment of a 75-year-old woman with a chronic venous ulcer caused by chronic deep venous insufficiency. The patient had been struggling with an unresponsive venous leg ulcer for 7 years with no improvement from previous treatments. A three-layer Unna boot treatment, including (ZnO NPs) and a two-component compression system was applied, and significant ulcer reduction was observed.
ZnO NPs impregnated bandages, like those found in an Unna boot, offer compression by wrapping gauze dressing impregnated with ZnO NPs around the patient's leg forming a semi-solid mold around the extremity. A more efficient treatment approach could lead to fewer clinic visits, thereby reducing healthcare expenses by enhancing the method of managing venous ulcers through a combination of compression and simple, cost-effective surface dressing materials. It's worth noting that ZnO NPs have demonstrated significant benefits for wound healing.
Utilizing ZnO NPs alongside compression therapy has proven highly effective, accelerating healing and offering a cost-effective solution. Further research is needed to study the safety of ZnO NPs.
慢性静脉疾病是一种常被漏诊的疾病,它会逐渐降低患者的生活质量,并给医疗资源带来日益沉重的负担。下肢静脉溃疡(VLUs)是慢性静脉功能不全的并发症,是下肢最常见的难愈合伤口类型。
在本病例报告中,我们展示了对一名75岁患有慢性深静脉功能不全导致的慢性静脉溃疡女性的成功治疗。该患者患有难治性下肢静脉溃疡7年,先前治疗均无改善。采用了包括(氧化锌纳米颗粒)和双组分加压系统的三层Unna靴疗法,观察到溃疡明显缩小。
浸渍有氧化锌纳米颗粒的绷带,如Unna靴中使用的绷带,通过将浸渍有氧化锌纳米颗粒的纱布敷料缠绕在患者腿部,形成围绕肢体的半固体模具来提供压力。一种更有效的治疗方法可以减少门诊就诊次数,从而通过结合加压和简单、经济高效的表面敷料材料来改进静脉溃疡的管理方法,进而降低医疗费用。值得注意的是,氧化锌纳米颗粒已显示出对伤口愈合有显著益处。
将氧化锌纳米颗粒与加压疗法结合使用已被证明非常有效,可加速愈合并提供具有成本效益的解决方案。需要进一步研究氧化锌纳米颗粒的安全性。