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乳头伤口护理:解决老问题的新方法。

Nipple wound care: a new approach to an old problem.

作者信息

Cable B, Stewart M, Davis J

机构信息

Mt. Carmel East Hospital, Columbus, Ohio, USA.

出版信息

J Hum Lact. 1997 Dec;13(4):313-8. doi: 10.1177/089033449701300417.

DOI:10.1177/089033449701300417
PMID:9429367
Abstract

Nipple soreness and nipple trauma have long been associated with breastfeeding, and persist despite the many clinical advancements in the field of lactation. Management of nipple wounds has been approached in a variety of ways over the years in an attempt to treat and resolve this problem. Incorporating the scientific principles of modern wound care management can provide additional effective treatment options. Wounds are characterized by depth and extent of tissue destruction, regardless of their location on the body. Current wound treatment methods employ the use of moisture to aid healing. A moist environment is critical for epithelization, the proliferation and migration of epithelial cells across the surface of a wound during healing. Nipple wounds also heal by this process. Using a particular type of wound dressing, a hydrogel sheet wound covering, on a nipple wound offers several advantages. These dressings help maintain a moist environment, decrease the chance of bacterial infection, are easy to use, and provide immediate pain relief.

摘要

乳头疼痛和乳头损伤长期以来一直与母乳喂养相关,尽管哺乳领域有诸多临床进展,但该问题依然存在。多年来,人们尝试了多种方法来处理乳头伤口,试图治疗并解决这一问题。将现代伤口护理管理的科学原理纳入其中,可以提供更多有效的治疗选择。伤口的特征在于组织破坏的深度和范围,无论其在身体上的位置如何。当前的伤口治疗方法利用水分来促进愈合。湿润的环境对于上皮形成至关重要,上皮形成是指在愈合过程中上皮细胞在伤口表面的增殖和迁移。乳头伤口也是通过这一过程愈合的。在乳头伤口上使用一种特殊类型的伤口敷料,即水凝胶片伤口覆盖物,具有诸多优点。这些敷料有助于保持湿润环境,降低细菌感染的几率,使用方便,并能立即缓解疼痛。

相似文献

1
Nipple wound care: a new approach to an old problem.乳头伤口护理:解决老问题的新方法。
J Hum Lact. 1997 Dec;13(4):313-8. doi: 10.1177/089033449701300417.
2
Comparing the use of hydrogel dressings to lanolin ointment with lactating mothers.比较水凝胶敷料与羊毛脂软膏在哺乳期母亲中的使用情况。
J Obstet Gynecol Neonatal Nurs. 2003 Jul-Aug;32(4):486-94. doi: 10.1177/0884217503255098.
3
Evaluation of a dressing to reduce nipple pain and improve nipple skin condition in breast-feeding women.评估一种用于减轻哺乳期妇女乳头疼痛并改善乳头皮肤状况的敷料。
Nurs Res. 1995 Nov-Dec;44(6):347-51.
4
Moist environment for healing: matching the dressing to the wound.促进愈合的湿润环境:选择与伤口匹配的敷料。
Ostomy Wound Manage. 1988 Winter;21:64-83.
5
Hydrogel wound dressings: where do we stand in 2003?水凝胶伤口敷料:2003年我们处于什么水平?
Ostomy Wound Manage. 2003 Oct;49(10):52-7.
6
Clinical and financial advantages of moist wound management.湿性伤口处理的临床及经济优势
Home Healthc Nurse. 2004 Sep;22(9):586-90. doi: 10.1097/00004045-200409000-00003.
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Positive effect of HPA lanolin versus expressed breastmilk on painful and damaged nipples during lactation.HPA 羊毛脂对哺乳期疼痛和受损乳头的积极影响优于母乳挤出。
Skin Pharmacol Physiol. 2011;24(1):27-35. doi: 10.1159/000318228. Epub 2010 Aug 18.
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[Comparison of the effectiveness and cost of treatment with humid environment as compared to traditional cure. Clinical trial on primary care patients with venous leg ulcers and pressure ulcers].[与传统治疗相比,潮湿环境治疗的有效性和成本比较。对患有下肢静脉溃疡和压疮的初级护理患者的临床试验]
Rev Enferm. 2000 Jan;23(1):17-24.
9
The scientific basis of healing.治愈的科学依据。
Adv Wound Care. 1997 May-Jun;10(3):30-6.
10
LED phototherapy improves healing of nipple trauma: a pilot study.LED光疗改善乳头创伤愈合:一项初步研究。
Photomed Laser Surg. 2012 Mar;30(3):172-8. doi: 10.1089/pho.2011.3119. Epub 2012 Jan 27.

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Microbiol Spectr. 2023 Feb 14;11(1):e0200922. doi: 10.1128/spectrum.02009-22. Epub 2023 Jan 5.
2
Re-thinking lactation-related nipple pain and damage.重新思考与哺乳相关的乳头疼痛和损伤。
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Lanolin for the treatment of nipple pain in breastfeeding women: a randomized controlled trial.羊毛脂治疗哺乳期妇女乳头疼痛:一项随机对照试验。
Matern Child Nutr. 2017 Jul;13(3). doi: 10.1111/mcn.12357. Epub 2016 Aug 1.
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Efficacy of lanolin and bovine type I collagen in the treatment of childhood anal fissures: a prospective, randomized, controlled clinical trial.羊毛脂和牛 I 型胶原蛋白治疗儿童肛裂的疗效:一项前瞻性、随机、对照临床试验。
Surg Today. 2010 Aug;40(8):752-6. doi: 10.1007/s00595-009-4141-3. Epub 2010 Jul 30.
6
Pain reduction and treatment of sore nipples in nursing mothers.哺乳期母亲乳头疼痛的缓解与治疗。
J Perinat Educ. 2004 Winter;13(1):29-35. doi: 10.1624/105812404X109375.