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慢性伤口渗出液对患者、临床医生和支付方的影响:应对泡沫敷料带来的挑战

The Impact of Chronic Wound Exudate on the Patient, Clinician and Payer: Addressing the Challenges With Foam Dressings.

作者信息

Mervis Joshua S

机构信息

Department of Dermatology, Tufts Medical Center, Boston, Massachusetts, USA.

出版信息

Int Wound J. 2025 Apr;22 Suppl 1(Suppl 1):e70369. doi: 10.1111/iwj.70369.

DOI:10.1111/iwj.70369
PMID:40360400
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12074858/
Abstract

Chronic wounds are often highly exudative. If not managed properly, chronic wound exudate will result in complications that delay healing and have highly detrimental effects on patients and their carers, as well as add substantial costs to the healthcare system as a whole. This short review article focuses on the role that foam dressings play in achieving moisture balance in the wound while protecting surrounding skin, with emphasis on how their structure and composition contribute to their ability to accomplish these goals. Foam dressing properties can create a conducive environment for wound healing, which ultimately has positive health and economic benefits for patients and society at large. It is hoped that, by reading this article, healthcare professionals will have a better understanding of the role of foam dressings in managing exudate and be better equipped to critique laboratory and clinical studies that have been undertaken to evaluate their performance.

摘要

慢性伤口通常渗出液很多。如果处理不当,慢性伤口渗出液会导致并发症,延缓愈合,对患者及其护理人员产生极其不利的影响,还会给整个医疗系统增加巨额成本。这篇简短的综述文章重点关注泡沫敷料在实现伤口水分平衡同时保护周围皮肤方面所起的作用,强调其结构和成分如何有助于实现这些目标。泡沫敷料的特性可为伤口愈合创造有利环境,最终给患者和整个社会带来积极的健康和经济效益。希望医疗专业人员通过阅读本文,能更好地理解泡沫敷料在处理渗出液方面的作用,并有更充分的能力评判为评估其性能而开展的实验室和临床研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c8f/12074858/65e8c275928d/IWJ-22-e70369-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c8f/12074858/150727225a3f/IWJ-22-e70369-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c8f/12074858/8d868b0d53ae/IWJ-22-e70369-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c8f/12074858/4fbd2753e424/IWJ-22-e70369-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c8f/12074858/7a2bc174522c/IWJ-22-e70369-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c8f/12074858/65e8c275928d/IWJ-22-e70369-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c8f/12074858/150727225a3f/IWJ-22-e70369-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c8f/12074858/8d868b0d53ae/IWJ-22-e70369-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c8f/12074858/4fbd2753e424/IWJ-22-e70369-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c8f/12074858/7a2bc174522c/IWJ-22-e70369-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c8f/12074858/65e8c275928d/IWJ-22-e70369-g001.jpg

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本文引用的文献

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A single-centre RetrospeCtive sTudy Investigating patient-reported outcomeS of extended dressing wear time for incisional healing following orthopaedic surgery: the ARCTIS study.一项单中心回顾性研究调查了骨科手术后切口愈合时延长敷料佩戴时间对患者报告结局的影响:ARCTIS 研究。
J Wound Care. 2024 Aug 2;33(Sup8):S17-S26. doi: 10.12968/jowc.2024.0198.
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M.O.I.S.T. Concept for the Local Therapy of Chronic Wounds: An International Update.慢性伤口局部治疗的M.O.I.S.T.概念:国际最新进展
Int J Low Extrem Wounds. 2024 Apr 4:15347346241245159. doi: 10.1177/15347346241245159.
3
Fluid handling by foam wound dressings: From engineering theory to advanced laboratory performance evaluations.
泡沫伤口敷料的液体处理:从工程理论到先进的实验室性能评估。
Int Wound J. 2024 Feb;21(2):e14674. doi: 10.1111/iwj.14674.
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Clinical performance characteristics for bordered foam dressings in the treatment of complex wounds: An international wound dressing technology expert panel review.边界泡沫敷料治疗复杂伤口的临床性能特征:国际伤口敷料技术专家小组综述。
Int Wound J. 2023 Nov;20(9):3467-3473. doi: 10.1111/iwj.14217. Epub 2023 May 4.
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Mechanical and contact characteristics of foam materials within wound dressings: Theoretical and practical considerations in treatment.伤口敷料中泡沫材料的机械和接触特性:治疗中的理论和实际考虑。
Int Wound J. 2023 Aug;20(6):1960-1978. doi: 10.1111/iwj.14056. Epub 2022 Dec 23.
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The biological and physiological impact of the performance of wound dressings.创面敷料性能的生物学和生理学影响。
Int Wound J. 2023 Apr;20(4):1292-1303. doi: 10.1111/iwj.13960. Epub 2022 Sep 15.
7
How Should Clinical Wound Care and Management Translate to Effective Engineering Standard Testing Requirements from Foam Dressings? Mapping the Existing Gaps and Needs.泡沫敷料的临床伤口护理和管理如何转化为有效的工程标准测试要求?映射现有差距和需求。
Adv Wound Care (New Rochelle). 2024 Jan;13(1):34-52. doi: 10.1089/wound.2021.0173. Epub 2022 Apr 5.
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A prospective, randomized, controlled, crossover study comparing three multilayered foam dressings for the management of chronic wounds.一项比较三种多层泡沫敷料治疗慢性伤口的前瞻性、随机、对照、交叉研究。
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The financial and quality-of-life cost to patients living with a chronic wound in the community.社区中慢性伤口患者的经济和生活质量成本。
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