Dressing Selection for Venous Ulcers_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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刘震杰 , 符伟国

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Keywords：

伤口创面; 二期愈合; 敷料; 静脉性溃疡; 外科换药

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随着人口老龄化，与老年病相关的慢性伤口护理越来越受重视。1962年，Winter［1］提出了“湿润环境促进伤口愈合”，为伤口换药奠定了现代创面换药的理论基础。20世纪80年代以来，针对各型创面研发了大量的新型敷料，如高分子薄膜敷料、泡沫敷料、水凝胶和水胶体敷料、海藻酸盐敷料、生物活性药物敷料等。正确选用敷料能加快创面修复、减少感染机会、缩短住院时间及降低医疗费用。现结合下肢静脉性溃疡的创面换药问题就如何选用各种医用敷料作一讨论……

Citation： 刘震杰,符伟国. Dressing Selection for Venous Ulcers. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(6): 439-440. doi: Copy

1.	] 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: 293-294.
2.	O’Meara S, Al-Kurdi D, Ovington LG. Antibiotics and antiseptics for venous leg ulcers [Ｊ]. Cochrane Database Syst Rev, 2008; (1): CD003557.
3.	Brem H, Kirsner RS, Falanga V. Protocol for the successful treatment of venous ulcers [Ｊ]. Am J Surg, 2004; 188(1A Suppl): 1-8.
4.	Heyneman A, Beele H, Vanderwee K, et al. A systematic review of the use of hydrocolloids in the treatment of pressure ulcers [Ｊ]. J Clin Nurs, 2008; 17(9): 1164-1173.
5.	秦益民主编. 功能性医用敷料 [M]. 北京：中国纺织出版社, 2007: 67.
6.	Choi JS, Leong KW, Yoo HS. In vivo wound healing of diabetic ulcers using electrospun nanofibers immobilized with human epidermal growth factor (EGF) [Ｊ]. Biomaterials, 2008; 29(5): 587-596.
7.	Sara R, Lorenzini M, Miguel LS. Comparing the costs of skin of graft and an absorbing nanocrystalline silver dressing in the treatment of a vasculitic ulcer-A cost model [Ｊ]. Burns, 2007; 33(1): S39.
8.	Chaby G, Senet P, Vaneau M, et al. Dressings for acute and chronic wounds: a systematic review [Ｊ]. Arch Dermatol, 2007; 143(10): 1297-1304.
9.	Palfreyman S, Nelson EA, Michaels JA. Dressings for venous leg ulcers: systematic review and meta-analysis [Ｊ]. BMJ, 2007; 335(7613): 244-256.

1. ] 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: 293-294.
2. O’Meara S, Al-Kurdi D, Ovington LG. Antibiotics and antiseptics for venous leg ulcers [Ｊ]. Cochrane Database Syst Rev, 2008; (1): CD003557.
3. Brem H, Kirsner RS, Falanga V. Protocol for the successful treatment of venous ulcers [Ｊ]. Am J Surg, 2004; 188(1A Suppl): 1-8.
4. Heyneman A, Beele H, Vanderwee K, et al. A systematic review of the use of hydrocolloids in the treatment of pressure ulcers [Ｊ]. J Clin Nurs, 2008; 17(9): 1164-1173.
5. 秦益民主编. 功能性医用敷料 [M]. 北京：中国纺织出版社, 2007: 67.
6. Choi JS, Leong KW, Yoo HS. In vivo wound healing of diabetic ulcers using electrospun nanofibers immobilized with human epidermal growth factor (EGF) [Ｊ]. Biomaterials, 2008; 29(5): 587-596.
7. Sara R, Lorenzini M, Miguel LS. Comparing the costs of skin of graft and an absorbing nanocrystalline silver dressing in the treatment of a vasculitic ulcer-A cost model [Ｊ]. Burns, 2007; 33(1): S39.
8. Chaby G, Senet P, Vaneau M, et al. Dressings for acute and chronic wounds: a systematic review [Ｊ]. Arch Dermatol, 2007; 143(10): 1297-1304.
9. Palfreyman S, Nelson EA, Michaels JA. Dressings for venous leg ulcers: systematic review and meta-analysis [Ｊ]. BMJ, 2007; 335(7613): 244-256.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Dressing Selection for Venous Ulcers

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