| 秦国强,丁明华.多种方法联合治疗压疮晚期肉芽创面临床体会[J].中国烧伤创疡杂志,2019,(4):257~260. |
| DOI： |
| 中文关键词: 湿润烧伤膏 负压封闭引流 微粒皮种植 压疮 肉芽创面 疗效 |
| 英文关键词:MEBO VSD Microskin implantation Pressure ulcer Granulation wound Curative effect |
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| 中文摘要: |
| 【摘要】 目的 总结分析湿润烧伤膏换药? 负压封闭引流? 自体微粒皮种植联合治疗压疮晚期肉芽创面的临床疗效? 方法 2017 年 2 月至 2018 年 6 月中铁十二局集团中心医院创面修复科收治的 10 例压疮患者在营养支持? 抗感染? 肢体康复锻炼等综合治疗以及健康宣教? 饮食指导等综合护理的基础上, 予以其晚期肉芽创面湿润烧伤膏换药? 负压封闭引流? 自体微粒皮种植联合治疗, 观察治疗效果? 结果 10 例压疮患者的晚期肉芽创面均完全愈合, 愈合时间为 45 ~ 70 d; 出院后随访 3 ~ 12 个月, 愈后皮肤生长良好, 均未复发? 结论 湿润烧伤膏换药? 负压封闭引流? 自体微粒皮种植联合治疗压疮晚期肉芽创面, 可有效促进创面愈合, 疗效显著, 值得进一步探索推广? |
| 英文摘要: |
| 【 Abstract 】 Objective To summarize and analyze the curative effect of the combined application of dressing change with MEBO, vacuum sealing drainage and autologous microskin implantation in the treatment of granulation wounds at the late stage of pressure ulcers. Methods Ten patients with pressure ulcers, admitted into the Wound Repair Depart? ment of The Central Hospital of China Railway 12th Bureau Group Co , LTD from February 2017 to June 2018, were select? ed as subjects. In addition to comprehensive treatment such as nutrition support, anti?infection, rehabilitation exercise and comprehensive nursing measures such as health education, diet guidance, the combination therapy of dressing change with MEBO, vacuum sealing drainage and autologous microskin implantation was given to treat granulation wounds at the late stage of pressure ulcers. Results The granulation wounds of the 10 patients were healed completely within 45 - 70 days. The follow?up visit of 3 to 12 months after discharge showed that the healed skin grew well and no relapse occurred. Conclu? sion In the treatment of granulation wounds at the late stage of pressure ulcers, the combination therapy of dressing change with MEBO, vacuum sealing drainage and autologous microskin implantation can effectively promote wound healing, presen? ting remarkable curative effect and deserving to be further investigated in the future studies. |
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