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潮湿环境中伤口愈合概述。

Overview of wound healing in a moist environment.

作者信息

Field F K, Kerstein M D

机构信息

Department of Surgery, Hahnemann University School of Medicine, Philadelphia, Pennsylvania 19102-1192.

出版信息

Am J Surg. 1994 Jan;167(1A):2S-6S. doi: 10.1016/0002-9610(94)90002-7.

Abstract

Maintaining a moist wound environment facilities the wound-healing process. The beneficial effects of a moist versus a dry wound environment include: prevention of tissue dehydration and cell death, accelerated angiogenesis, increased breakdown of dead tissue and fibrin, i.e., pericapillary fibrin cuffs, and potentiating the interaction of growth factors with their target cells. In addition, pain is significantly reduced when wounds are covered with an occlusive dressing. Concerns that moisture in wounds would increase the risk of clinical infection over traditional therapies are unfounded. The use of hydrocolloid occlusive dressings in maintaining a moist wound environment has proved to be a useful adjunct in facilitating wound healing.

摘要

保持伤口湿润的环境有助于伤口愈合过程。湿润伤口环境相对于干燥伤口环境的有益效果包括:防止组织脱水和细胞死亡、加速血管生成、增加坏死组织和纤维蛋白(即毛细血管周围纤维蛋白套)的分解,以及增强生长因子与其靶细胞的相互作用。此外,当伤口用封闭敷料覆盖时,疼痛会显著减轻。认为伤口中的水分会比传统疗法增加临床感染风险的担忧是没有根据的。事实证明,使用水胶体封闭敷料来保持伤口湿润的环境是促进伤口愈合的一种有用辅助方法。

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