糖尿病足溃疡治疗现况的报告  

Investigations on Current Global Management of Diabetic Foot Ulcers

作　　者：王艺霏 

机构地区：[1]中国烧伤创疡杂志编辑部,北京100020

出　　处：《中国烧伤创疡杂志》2012年第4期302-302,共1页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目前,糖尿病足溃疡的治疗是一个世界性难题,医学界普遍使用的治疗方法有:1)常规辅料:凡士林、生理盐水、碘伏、银辅料等;2)新型辅料(AMWT):藻酸盐、水凝胶、硅胶泡沫等;3)物理治疗:负压引流、高压氧等;4)生物辅料:生长因子、人工皮片等;5)手术治疗:植皮、皮瓣覆盖等。但是,这些方法存在以下问题:没有确切疗效,创面容易感染,截肢率高,价格昂贵,创面愈合后皮肤耐磨性能差等如今,皮肤原位再生复原技术(MEBT/MEBO)在治疗糖尿病足溃疡方面实现了突破性的进展,该技术通过为溃疡创面提供生理性湿润环境,无损伤性地排除液化坏死组织,持续供给组织器官原位再生复原所需的再生营养物质,实现了糖尿病足溃疡的生理性再生复原。而且这种方法疗效确切、操作简单、治疗费用低。下图是MEBT/MEBO与其它方法治疗糖尿病足溃疡效果的对比病例。报告的相关内容,请浏览本刊所附DVD。Presently the treatment of diabetic foot ulcer is an international tough problem and the commonly used approaches in the medical field includes： 1 ） conventional dressing： Vaseline, NS, iodophor, silver-based dressing, etc. ; 2） Advanced dressing： alginate, hydrogels, hydroeolloids, silicone coated foam, maggot, etc. ; 3 ） adjunctive strategies： negative pressure wound therapy, hyperbaric oxygen, etc. ; 4） biological dressing： growth factors, artificial skin products, etc. ; 5 ） surgical methods ： skin graft, flap coverage, and etc. However, these approaches resuh in the following problems such as indefinite therapeutic efficacy, wound infection, higher amputation rate, expensive cost, bad wear-resisting property ＂after wound healing and so an. Nowadays, MEBT/MEBO has realized the groundbreaking progress in the treatment of diabetic foot ulcer. This approach realizes the physiological regenerative restoration by providing a physiological moist environment, removing and liquefying the necrotic tissues without further damage, and continuously providing regenerative substance needed for the in situ regenerative restoration of tissues/organs, which can achieve definite therapeutic efficacy and is easy to operate as well as cost less. The pictures below show the outcomes obtained from the approaches of MEBT/MEBO and the others in treating diabetic, foot ulcers for the sake of cnmparison. As for the more detailed information, please refer to the attached DVD contained in the Journal.

关 键 词：糖尿病足溃疡 治疗方法 皮肤原位再生 生理性再生 创面愈合后 生理盐水 负压引流 物理治疗 

分 类 号：R587.2[医药卫生—内分泌]