Application of Wet Dressing in Treating Non-healing of Wound after Gout Stone Curettage_West China Medical Journal

Authors：

 LIYe-ping , HEHui-lin , WANGTao , TANGShi-tian

Department of Orthopedics, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;

Corresponding author：

Keywords：

Wet dressing; Gout stone; Wound; Curative effect

DOI：

10.7507/1002-0179.20140494

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Objective To explore the clinical effects of wet dressing in treating non-healing wound caused by gout stone curettage. Methods Fifteen patients with non-healing wound after hand and foot gout curettage between April 2010 and January 2014 were included in our study. Medication, diet management, lifestyle changes, and health guidance were carried out before and after surgery to control patients' uric acid concentration. Through evidence-based method and considering the characteristics of gout stone curettage wound, we selectively used wet dressing to deal with the wound during the three processes of wound healing:debridement, hyperplasia, and maturing. The curative effect and patients' recovery were observed. Results All the 15 cases of wound were cured, and the average treatment time was (40±5) days No recurrence occurred. Conclusion Wet dressing can promote healing of gout stone curettage wound. With comprehensive treatment method, it can restore patients' health as soon as possible.

Citation： LIYe-ping, HEHui-lin, WANGTao, TANGShi-tian. Application of Wet Dressing in Treating Non-healing of Wound after Gout Stone Curettage. West China Medical Journal, 2014, 29(9): 1607-1610. doi: 10.7507/1002-0179.20140494 Copy

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15.	Fletcher J.Wound bed preparation and the TIME principles[J].Nurs Stand,2005,20(12):57-65; quiz 66.
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17.	胡爱玲,邓云珍,戴平,等.慢性伤口护理的误区[J].护士进修杂志,2003,18(2):178-180.
18.	张伟红.康惠尔银离子抗菌敷料治疗难治性感染伤口效果观察[J].护理学杂志,2009,24(16):78-79.
19.	Wurapa RK.Zelouf Ds.Flexor tendon rupture caused by gout:a case report[J].J Hand Surg Am,2002,27(4):591-593.
20.	Winter GD.Formation of the scab and the rate of epithelization of superficial wounds in the skin of the young domestic pig[J].Nature,1962,193(8):293-294.
21.	荣卫平,王丽,梁锋.湿性敷料在不可分期压疮治疗中的应用[J].护理研究,2012,26(20):1870-1871.
22.	Schumacher HR,Chen LX.Newer therapeutic approaches:gout[J].Rheum Dis Clin North Am,2006,32(1):235-244,xii.

1. Nowatzky J,Howard R,Pillinger MH,et al.The role of uric acid and other crystals in osteoarthritis[J].Curr Rheumatol Rep,2010,12(2):142-148.
2. 中华医学会风湿病学分会.原发性痛风诊治指南(草案)[J].中华风湿病学杂志,2004,8(3):178-181.
3. 沙军,郭春华.晚期手足痛风结石的手术治疗[J].中国民族民间医药,2012,21(11):64.
4. 庄永青,付强,傅小宽,等.手部痛风的手术治疗[J].中华手外科杂志,2006,22(5):296-298.
5. 宁宁,廖灯彬,刘春娟.临床伤口护理[M].北京:科学出版社,2013:4.
6. Carville K.Wound care manual[M].5th ed.Osborne Park,Australia:Silver Chain Foundation,2005:82-93.
7. 蒋琪霞.伤口护理临床实践指南[M].南京:东南大学出版社,2004:75.
8. Pamell LK,Ciufi B,Gokoo CF.Preliminary use of a hydrogel containing enzymes in the treatment of stageⅡand stage Ⅲ pressure ulcers[J].Ostomy Wound Manage,2005,51(8):50-60.
9. König M,Vanscheidt W,Augustin M,et al.Enzymatic versus autolytic debridement of chronic leg ulcers:a prospective randomised trial[J].J Wound Care,2005,14(7):320-323.
10. 王小俊.消肿生肌膏在慢性伤口红色阶段中的运用[J].护理研究,2011,25(36):3340-3341.
11. 黄威,谭佳男,刘晓燕,等.保留皮肤的手部巨大痛风结石切除术[J].中国美容整形外科杂志,2011,22(1):15-17.
12. Caldas CA,Fuller R.Excellent response to the clinical treatment of tophaceous gout[J].Clin Rheumatol,2007,26(9):1553-1555.
13. 严耀明.骨关节痛风结石的手术治疗[J].临床骨科杂志,2011,14(4):425-427.
14. 王清华,苏秋妹.湿性敷料治疗皮肤Ⅱ度烧伤的比较[J].中国组织工程研究,2013,17(8):1513-1520.
15. Fletcher J.Wound bed preparation and the TIME principles[J].Nurs Stand,2005,20(12):57-65; quiz 66.
16. 陶学霞.湿性愈合疗法应用于术后切口二期愈合的临床观察[J].护士进修杂志,2008,23(22):2090-2091.
17. 胡爱玲,邓云珍,戴平,等.慢性伤口护理的误区[J].护士进修杂志,2003,18(2):178-180.
18. 张伟红.康惠尔银离子抗菌敷料治疗难治性感染伤口效果观察[J].护理学杂志,2009,24(16):78-79.
19. Wurapa RK.Zelouf Ds.Flexor tendon rupture caused by gout:a case report[J].J Hand Surg Am,2002,27(4):591-593.
20. Winter GD.Formation of the scab and the rate of epithelization of superficial wounds in the skin of the young domestic pig[J].Nature,1962,193(8):293-294.
21. 荣卫平,王丽,梁锋.湿性敷料在不可分期压疮治疗中的应用[J].护理研究,2012,26(20):1870-1871.
22. Schumacher HR,Chen LX.Newer therapeutic approaches:gout[J].Rheum Dis Clin North Am,2006,32(1):235-244,xii.

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Application of Wet Dressing in Treating Non-healing of Wound after Gout Stone Curettage

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