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对慢性创面的治疗,采用清创及换药治疗的方法难以取得较满意的疗效。慢性创面的治疗周期较长,费用较高,效果较差。而常规疗法不佳时可尝试采用生物疗法,以缩短创面愈合时间,提高创面愈合质量。作为一种促进创面愈合的新型疗法,血小板浓缩物在创面修复与再生医学领域有着广阔的应用前景。现就血小板浓缩物治疗慢性创面的相关进展作一综述。 相似文献
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远程医疗是利用电信和数字中继来执行、教授或共享医学知识的过程,包括远程指导、远程手术、远程机器人等。远程医疗在手术中应用不仅能改善目前高水平外科医师短缺的现状,而且能打破空间壁垒,减轻患者经济负担,助力国家分级诊疗实施。本文主要就泌尿外科手术领域,国内外远程医疗的发展历史及种类现状展开一系列介绍,并对远程医疗的发展前景进行展望。 相似文献
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目的:探索封闭式负压引流技术在治疗慢性创面中的应用及护理。方法:选择2010年6月~7月采用封闭式负压引流技术治疗的慢性创面50例,主要为压疮患者,对其分别进行封闭式负压引流技术及创面换药治疗。术后均随访至所有创面完全愈合后1个月。结果:使用封闭式负压引流技术至创面修复完整时间较创面换药治疗缩短,此期间患者平均手术次数为1~2次。可以保持有效引流5~7天,能有效地减少创面愈合时间,促进创面愈合,治愈率提高。结论:封闭式负压引流(Vacuumseal i ng dr ai nage-VSD)技术能明显促进慢性创面愈合,缩短治疗时间,减轻患者痛苦,降低患者费用,操作简便,易于掌握,在治疗慢性创面方面远远优于常规换药治疗。是一种促进浅表创面和深部创面愈合的全新方法,因此准确、有效、及时的治疗和护理是取得良好疗效的关键。 相似文献
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目的评估HaiMed难愈性创面人工智能辅助系统在创面测量中的准确性及实用性。方法根据入选标准选取北京大学第三医院成形外科2019年1至8月诊治的慢性创面患者20例,男12例,女8例,年龄20~76岁,其中术后愈合不良创面9例,糖尿病足创面6例,压疮4例,肿瘤创面1例。分别采用传统的透明膜勾边法和HaiMed难愈性创面人工智能辅助系统对20例创面面积进行测量。对2组创面面积测量结果进行配对t检验,应用Spearman简单相关分析、Bland-Altman评价以及变异系数,对HaiMed系统的准确性、稳定性进行统计分析。P<0.05为差异有统计学意义。结果 HaiMed难愈性创面人工智能辅助系统与传统测量工具相比,在创面面积测量中差异无统计学意义(t=1.997,P=0.060),2种方法的Spearman相关系数r=0.998,两者一致性好。Bland-Altman评价示所有散点均落于95%一致性界限内,HaiMed系统准确性可靠。透明膜勾边法组变异系数最小0.41%,最大4.03%,平均1.67%;HaiMed组变异系数最小0.15%,最大2.31%,平均0.60%,HaiMed系统较传统测量方法有更高的稳定性。结论 HaiMed难愈性创面人工智能辅助系统测量创面面积准确性高、稳定性好,尤其对于浅表创面,可进行简便快捷的创面评估,是一套新型、可靠的创面测量工具。 相似文献
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目的:探讨负压创面治疗技术(Negative pressure wound therapy,NPWT)联合重组人碱性成纤维细胞生长因子(Recombinant human basic fibroblast growth factor,rh-bFGF)持续冲洗治疗慢性创面的临床效果。方法:选取医院烧伤整形外科2020年1月-12月收治的100例慢性创面患者为研究对象,随机分为A组和B组,每组各50例。A组采取NPWT联用生理盐水冲洗治疗,B组为NPWT联用rh-bFGF溶液持续冲洗。比较两组肉芽组织覆盖率、疼痛评分、创面细菌阳性率及炎症指标。结果:治疗后,两组疼痛评分、白细胞计数、C反应蛋白均降低,且B组低于A组,差异均有统计学意义(P<0.05)。B组新生肉芽组织覆盖率和创面愈合率明显高于A组,创面细菌阳性率低于A组,差异均有统计学意义(P<0.05)。结论:NPWT联用rh-bFGF持续冲洗可降低创面感染率,促进一期肉芽组织新生,减少二期手术间隔时间,有一定临床应用价值。 相似文献
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目的 分析自体脂肪移植(AFT)联合负压引流技术(VSD)在慢性创面治疗中的应用价值。方
法 选取我院2021年4月-2023年4月接收的60例慢性创面患者,随机分为对照组和观察组,每组30例。对照
组给予常规清创换药治疗,观察组给予AFT联合VSD治疗,比较两组创面愈合率、并发症发生率、细菌培
养阳性率、创面肉芽生长评分、平均创面愈合时间、住院时间、炎症因子、致痛因子与疼痛评分、溃疡相
关指标。结果 观察组创面愈合率、创面肉芽生长评分高于对照组,并发症发生率、细菌培养阳性率低于对
照组,平均创面愈合时间、住院时间短于对照组(P <0.05);观察组治疗后炎症因子、致痛因子与疼痛评
分、溃疡相关指标改善程度均优于对照组(P<0.05)。结论 VSD联合AFT用于治疗慢性创面效果确切,不
易引发局部及全身不良反应,是一种稳定有效且安全性较高的治疗方法。 相似文献
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Steven Ganzberg 《Anesthesia progress》2010,57(3):114-119
The pharmacologic management of chronic orofacial pain involves the use of medications not used routinely in dental practice. Additionally, many drugs are used for long periods of time necessitating careful monitoring for adverse effects and potential drug interactions. This article will review commonly used medications for chronic orofacial pain and highlight important areas of concern. 相似文献
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This review and case study report considers the evidence to indicate that the progress of wound healing is negatively affected by the presence of stressors and in circumstances where patients are in pain. It considers the relationship between perceptions of pain, stress and delayed wound healing with a specific focus on guidance for clinical practice. It is appreciated that although the literature has examined these issues in the management of acute wounds, demonstrating that psychological stress can have detrimental effects on the wound‐healing process, the evidence to support this link in relation to chronic wounds is limited. The review considers evidence indicating that punch biopsy wounds heal more slowly in subjects under stress on account of caring for family members with long‐term illnesses and also considers briefly the relationship between cortisol secretion in response to stress and the consequent influences on cytokine levels and the wound‐healing process. 相似文献
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作者自1991年1月—1994年12月收治火药枪伤96例.火器威力大,射击距离近,以四肢及肢带致伤较多而严重,合并休克22例,骨折28例,周围神经损伤24例,血管伤19例,血气胸6例,拇指断离3例,小腿毁损伤3例,直肠、膀胱伤1例.经有效救治均未致死,较大创口70处清创后一期缝合,62处一期愈合,修复动脉16条,15例成功,26处骨折一期内固定成功,无1例发生骨髓炎. 相似文献
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Patients with diabetes mellitus have a lifetime risk of 15% to 25% of developing diabetic foot ulcers (DFUs). DFU is associated with significant morbidity and mortality. Wound imaging systems are useful adjuncts in monitoring of wound progress. Our study aims to review existing literature on the available wound assessment and monitoring systems for DFU. This is a systematic review of articles from PubMed and Embase (1974 – March 2020). All studies related to wound assessment or monitoring systems in DFUs were included. Articles on other types of wounds, review articles, and non‐English texts were excluded. Outcomes include clinical use, wound measurement statistics, hospital system integration, and other advantages and challenges. The search identified 531 articles. Seventeen full‐text studies were eligible for the final analysis. Five modalities were identified: (a) computer applications or hand‐held devices (n = 5), (b) mobile applications (n = 2), (c) optical imaging (n = 2), (d) spectroscopy or hyperspectral imaging (n = 4), and (e) artificial intelligence (n = 4). Most studies (n = 16) reported on wound assessment or monitoring. Only one study reported on data capturing. Two studies on the use of computer applications reported low inter‐observer variability in wound measurement (inter‐rater reliability >0.99, and inter‐observer variability 15.9% respectively). Hand‐held commercial devices demonstrated high accuracy (relative error of 2.1%‐6.8%). Use of spectroscopy or hyperspectral imaging in prediction of wound healing has a sensitivity and specificity of 80% to 90% and 74%to 86%, respectively. Majority of the commercially available wound assessment systems have not been reviewed in the literature on measurement accuracy. In conclusion, most imaging systems are superior to traditional wound assessment. Wound imaging systems should be used as adjuncts in DFU monitoring. 相似文献
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远红外透视机在慢性前列腺炎和良性前列腺增生诊断中的应用 总被引:1,自引:0,他引:1
目的 :探讨远红外透视机在诊断慢性前列腺炎 (CP)和良性前列腺增生 (BPH)中的应用价值。 方法 :对15例CP、17例BPH病人及 15例健康对照者进行远红外透视机检查 ,对热图进行分析和统计学处理。 结果 :CP组和BPH组与健康对照组之间的温差差异均有显著性 (P <0 .0 0 1) ,而CP组和BPH组之间差异没有显著性 (P >0 .0 5 )。 结论 :远红外透视机作为功能性诊断设备 ,是一种可用于前列腺疾病诊断的良好工具 相似文献