糖尿病足创面的局部治疗.pdfVIP

崮隧囱筮塑i女逝苤：基塑!生!!旦笙垫鲞筮鱼翅!!!!婴』竖!!!!!：巫!!!!丛!!尘：塑!!!坐鲢!趔!：!尘：垫：丛!：鱼 r．一一一一一一一1I |_Il盘床研究i ·综述· L．．．．．．．．．．．．．．J 糖尿病足创面的局部治疗 何银辉谷卫 【摘要】 糖尿病足是糖尿病的严萤并发症之一。良好的创而治疗可以促进创面愈合，减少截肢 风险。糖尿病足溃疡创面的局部治疗t要包括局部减压、清创和敷料及高级伤u愈合产品的应用。 近年．新观念、新技术及新材料小断涌现，并且取得r显著的临床疗效。如速成全接触石膏支具在减 压中的应用。蛆虫疗法应用丁糖尿病足清创日趋成熟，新型敷料及高级愈合产品通过多种生理机制促 进糖尿病溃疡的愈合。本文主要埘糖尿病足创面的局部治疗及相关研究作一综述。 【关键词】 糖尿病足；足溃疡；创面；清创术；生物敷料 Localtreatmentofwoundindiabetic foot船Y／n—hui’，GU耽丘+DepartmentofEndocrinology。Lishui Central Hospital。12shui323000，China Correspondingauthor：GUWei。Emai￡：guweil957@yahoo．coin．Cn footisoneofthemostserious ofdiabetes．Alocaltreatment 【Abstract】Diabetic complications good of decrease,the of ofdiabeticulcercanacceleratethe ulcerand of recovery possibilityamputation．Metheds localtreatment and of andadvancedwound include：off-loadingtreatment，debridementapplicationdressings there new and their effects healing appearedmany techniquesmaterials，andtherapeutic products．Recently is wereconfirmedclinical andstudies．For totalcontactcastusedintheoff- by practices instance，instant maturatesisutilizedinthe andadvanced treatment，maggot debridement，newdressings loading therapy wound wound several mechanisms．Thisintroduces productsimprovehealingby physiological paper healing of localtreatmentdiabeticfootandrelatedstudies． 【Keywords】Diabeticfoot；Footulcer；Wound；Debridement；Biological dressings JEndxwrinol (Intern