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使用封闭性敷料的湿性伤口愈合。一项临床综述。

Moist wound healing with occlusive dressings. A clinical review.

作者信息

Kannon G A, Garrett A B

机构信息

Department of Dermatology, Medical College of Virginia, Richmond 23298, USA.

出版信息

Dermatol Surg. 1995 Jul;21(7):583-90. doi: 10.1111/j.1524-4725.1995.tb00511.x.

Abstract

BACKGROUND

Occlusive dressings have become increasingly popular in the management of wound care. Numerous types of occlusive dressings are presently available for the treatment of acute and chronic wounds. Occlusion enhances wound healing primarily by preventing wound dessication. As a result, epidermal necrosis and eschar formation do not occur, and wounds reepithelialize more quickly.

OBJECTIVE

Choosing a dressing to meet the specific needs of the patient can often become confusing for the physician. We review the various types of occlusive dressings and their advantages and disadvantages in the practical management of acute and chronic wounds.

METHODS

A literature review of the subject was performed.

RESULTS

Occlusive dressings enhance reepithelialization by preventing wound dessication. Lower infection rates are generally achieved despite bacterial proliferation under some occlusive dressings.

CONCLUSION

Occlusive dressings simplify wound care and are an excellent choice in the management of most acute and chronic wounds. This review should enable the clinician to choose the best dressing to meet the individual wound of the patient.

摘要

背景

封闭性敷料在伤口护理管理中越来越受欢迎。目前有多种类型的封闭性敷料可用于治疗急性和慢性伤口。封闭主要通过防止伤口干燥来促进伤口愈合。因此,不会发生表皮坏死和焦痂形成,伤口再上皮化更快。

目的

为患者选择满足其特定需求的敷料常常会让医生感到困惑。我们综述了各种类型的封闭性敷料及其在急性和慢性伤口实际管理中的优缺点。

方法

对该主题进行了文献综述。

结果

封闭性敷料通过防止伤口干燥来促进再上皮化。尽管在某些封闭性敷料下细菌会增殖,但总体感染率较低。

结论

封闭性敷料简化了伤口护理,是大多数急性和慢性伤口管理的理想选择。本综述应能使临床医生选择最适合患者个体伤口的敷料。

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