| 唐 毅,唐耘天,许宇彪.不可分期压疮不同病理时期局部治疗方案选择分析[J].中国烧伤创疡杂志,2019,(5):312~315. |
| DOI： |
| 中文关键词: 不可分期压疮 病理时期 局部治疗 综述 |
| 英文关键词:Unstageable pressure sores Pathological stage Topical treatment Review |
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| 中文摘要: |
| 【摘要】 不可分期压疮根据其发展过程可分为坏死期、炎症反应期、肉芽生长期、上皮形成期4个病理时期。坏死期应行清创治疗，降低细菌负载和生物膜破坏；炎症反应期以控制感染和积极引流为主，如外用抗菌敷 料及负压封闭引流等，以加快创面向肉芽生长期转变；肉芽生长期创面分泌物减少，宜采用烧伤创疡再生医疗技术维持创面湿性环境，以利于创面愈合及减轻疼痛；上皮形成期创面床已准备良好，采用皮肤移植、皮瓣转移等外科手术治疗可快速封闭创面，减少蛋白质损失、液体丢失、创面感染和晚期恶性并发症发生，加速创面愈合。 |
| 英文摘要: |
| 【Abstract】 Based on the progression course，unstageable pressure sores can be divided into four pathological sta? ges: necrosis stage，inflammatory reaction stage，granulation growth stage and epithelization stage. During the necrosis stage，debridement should be performed to reduce bacterial load and the damage to biofilms；during the inflammatory reac? tion stage，the management focuses should be infection control and active drainage，such as applying antibacterial dressing for external use and negative vacuum sealing drainage to accelerate the transition to the granulation growth stage. There were few wound secretions in the granulation growth stage，and MEBT/ MEBO is recommended to be adopted to maintain a moist wound environment in favor of the wound healing and pain relief. In the epithelization stage，the wound bed is well prepared so that surgical operations such as skin grafting and skin flap transplantation can be performed to close the wound fast，so as to decrease the losses of protein and liquid，and avoid the occurrence of wound infection and malignant complications at the later stage，accelerating the wound healing. |
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