皮肤再生医疗技术在糖尿病性创面分期分级诊疗中的规范化应用方案专家共识  

Expert Consensus on Application Protocol of MEBT/MEBO in the Diagnosis and Treatment of Diabetic Wounds of Different Stages and Grades

作　　者：李杰辉 唐乾利[2] 方进勇[3] 中国中西医结合学会烧伤专业委员会 Tang Qianli;Li Jiehui;The Burns Committee of Chinese Association of Integrative Medicine

机构地区：[1]广西中医药大学第一附属医院 [2]右江民族医学院 [3]北京荣祥再生医学研究所 [4]不详

出　　处：《中国烧伤创疡杂志》2021年第5期310-316,共7页The Chinese Journal of Burns Wounds & Surface Ulcers

基　　金：国家自然科学基金面上项目(81774327);广西科技重点研发计划(桂科AB17292046)。

摘　　要：皮肤再生医疗技术(MEBT/MEBO)治疗糖尿病性创面已在临床应用多年,且取得了较好疗效。针对糖尿病性创面尤其是糖尿病足创面临床表现多样、发病机制复杂、难以治愈等特点,临床应用MEBT/MEBO时需进行更有针对性,更具系统化、规范化、个体化的操作指导,形成共识以便能够准确指导临床治疗。在此背景下,本项目组在前期文献研究基础上结合多年临床经验制订了《皮肤再生医疗技术在糖尿病性创面分期分级诊疗中的规范化应用方案》,该方案将MEBT/MEBO与现代慢性难愈合创面的"创面床准备"理论相结合,对糖尿病性创面MEBT/MEBO的应用进行分期分级论述,详细讲解了MEBT/MEBO规范化、细致化、具体化的操作流程及注意事项,但相关基础治疗及其他局部治疗方法不在本方案探讨范围。Skin regenerative medical technology(MEBT/MEBO)has been applied in the treatment of diabetic wounds in clinical practice for many years,with good clinical efficacy.Since diabetic wounds,especially diabetic foot ulcers,are characterized by diverse symptoms,complex pathogenesis,and prolonged healing process,an application protocol that’s not only systematic and standardized,but also concerns individual patient’s condition,should be made for the application of MEBT/MEBO in clinical practice,upon the consensus of experts.With this in mind,our project team developed Application Protocol of Skin Regenerative Medical Technology in the Diagnosis and Treatment of Diabetic Wounds of Different Stages and Grades based on literature review and years of clinical experience.By combining MEBT/MEBO with the Wound Bed Preparation paradigm in the treatment of chronic refractory wounds,the protocol,respecting different stages and grades,defined a standardized,detailed,and specific treatment procedure with precautions for the application of MEBT/MEBO in treating diabetic wounds.Basic treatment and local treatment methods were not covered.

关 键 词：皮肤再生医疗技术 糖尿病性创面 分期 分级 规范化 专家共识 

分 类 号：R587.2[医药卫生—内分泌]