蛆虫清创术应用现状和未来发展的思考  

Thinking on the current situation and future development of maggot debridement therapy

作　　者：李晓宇 柳国斌[1] LI Xiaoyu;LIU Guobin(Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201210,China)

机构地区：[1]上海中医药大学附属曙光医院,上海201210

出　　处：《中华中医药杂志》2024年第4期1873-1877,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金青年科学基金项目(No.81804095);上海市浦东新区卫生健康委员会卫生计生科研项目(No.PW2020E-4);上海市2021年度“科技创新行动计划”医学创新研究专项项目(No.21Y21920200)。

摘　　要：清创是创面修复不可或缺的关键步骤,也是临床的难点。蛆虫自古以来便用于清创,蛆虫清创术具有无创伤、清创充分和无出血等优势。近年来耐药菌、慢性难愈性溃疡发病率均呈上升趋势,促使医疗工作者再次重视古老的蛆虫清创术。文章针对已有的相关研究,系统性整理蛆虫清创术优势及现存困境,推测未来进展,以期为促进蛆虫清创术临床应用及开拓中医药思路提供借鉴。Debridement is an indispensable key step in wound repair and also a clinical difficulty.Maggots have been used for debridement since ancient times.Maggot debridement has the advantages of no trauma,full debridement and no bleeding.In recent years,the incidence rate of drug-resistant bacteria and chronic refractory ulcers has been on the rise,prompting medical workers to pay attention to the ancient maggot debridement again.The purpose of this paper is to systematically sort out the advantages and existing difficulties of maggot debridement and speculate on the future progress based on the existing relevant research,so as to provide reference for promoting the clinical application of maggot debridement and opening up the thinking of traditional Chinese medicine.

关 键 词：丝光绿蝇特定属 煨脓长肉 蚕食法 意识学调查 供应链 

分 类 号：R26[医药卫生—中医外科学]