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作 者:张丕红[1] 彭映华 Zhang Pihong;Peng Yinghua(Department of Burns and Plastic Surgery,Xiangya Hospital,Central South University,Changsha 410008,China)
机构地区:[1]中南大学湘雅医院烧伤整形科,长沙410008
出 处:《中华损伤与修复杂志(电子版)》2022年第3期185-190,共6页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
摘 要:《闭合切口负压治疗(ciNPT)用于切口和周围软组织管理的专家共识》(以下简称"共识")于2022年3月发表于International Wound Journal,该共识结合临床实际,围绕ciNPT提出10个推荐意见,指导ciNPT的临床应用,加强对切口及周围软组织的管理。本文从ciNPT的适应证、压力设置及持续时间、应用注意事项及应用时局部皮肤保护方面进行解读,并结合我国实际情况探讨手术切口并发症发生的相关危险因素,对ciNPT临床应用的成本效益进行分析,旨在改善手术切口愈合、减少切口并发症的同时,避免过度医疗、降低医疗开支。The expert consensus on the use of closed incision negative pressure therapy(ciNPT)for incision and surrounding soft tissue management(hereinafter referred to as the"consensus")was published in International Wound Journal in March 2022.Combined with clinical practice,the consensus puts forward 10 recommendations for ciNPT to guide the clinical use of ciNPT,and strengthen the management of incision and surrounding tissue.This paper interprets the guiding points of the consensus from the indications,pressure setting and duration of ciNPT,precautions for use and the protection of surrounding skin,and connecting with the actual situation in China to explore the related risk factors of surgical incision complications and ciNPT clinical application of cost-benefit analysis,in order to improve the healing of surgical incision,reduce incision complications,avoid excessive medical treatment and reduce medical expenses.
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