超脉冲光生物调节治疗慢性皮肤溃疡的效果评价  

Evaluation of the efficacy of fluorescent light energy(FLE)in the treatment of chronic skin ulcers

作　　者：陈小丽 梁愉笳 陈善丹 黄瑞叶 吴伟伟 CHEN XiaoLi;LIANG Yujia;CHEN Shandan;HUANG Ruiye;WU Weiwei(Department of Plastic and Dermatological Surgery,The Fifth People’s Hospital of Hainan Province,Haikou 570100,China)

机构地区：[1]海南省第五人民医院整形与皮肤外科,海南省海口市570100

出　　处：《组织工程与重建外科》2024年第3期331-334,共4页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：海南医学临床中心建设项目。

摘　　要：目的探讨超脉冲光生物调节(Fluorescent light energy,以下简称FLE线粒体再生光)治疗慢性皮肤溃疡的临床疗效及安全性。方法收集2020年10月至2023年3月就诊的5例慢性皮肤溃疡患者进行FLE线粒体再生光联合规范综合护理干预治疗,每例患者在治疗前均予以溃疡清创处理。FLE线粒体再生光治疗系统由芦玫赫®医用创面凝胶敷料和线粒体光子治疗仪(湖南科洛克医药有限公司)组成,治疗时将新鲜配制的医用创面凝胶敷料涂抹于局部皮损处,约2 mm厚,随后调节光子治疗仪(光功率密度≥40 mW/cm^(2))距离创面5 cm,照射5 min。每周治疗2次,连续6次。治疗中辅以综合护理干预,治疗后评估创面愈合和组织重塑的临床疗效、安全性及患者满意度。结果5例患者治愈率达100%,患者及家属满意度为100%,治疗过程中未观察到明显不良反应。结论FLE线粒体再生光治疗辅以综合护理干预,可缩短溃疡创面愈合时间,降低整体医疗支出,提高患者满意度。Objective To investigate the clinical efficacy and safety of fluorescent light energy(FLE)combined with comprehensive nursing intervention in treating chronic skin ulcers(CSUs).Methods From October 2020 to March 2023,5 patients with CSU were enrolled and treated with FLE combined with standardized comprehensive nursing intervention.Each patient was debrided before treatment.The FLE system consists of Lumiheal®medical wound gel dressing(Hunan Klox Pharmaceutical Co.,Ltd.)and mitochondrial photon therapy device(Hunan Klox Pharmaceutical Co.,Ltd.).During treatment,freshly prepared Lumiheal®medical wound gel dressing was applied to the local skin lesion with a thickness of about 2 mm,and then the mitochondrial photon therapy device(light power density≥40 mW/cm^(2))was adjusted to a distance of 5 cm from the wound surface,and luminated for 5 minutes.FLE treatment was applied twice a week for 6 consecutive times with comprehensive nursing intervention.The clinical efficacy,safety,and patient satisfaction of wound healing and tissue remodeling were evaluated after the treatment.Results The healing rate of 5 patients was 100%,the satisfaction rate of patients and their families was 100%,and no obvious adverse reactions were observed during treatment.Conclusion FLE therapy combined with comprehensive nursing intervention can shorten the healing time of ulcers,reduce economic loss,reduce overall medical expenses and improve patient satisfaction.

关 键 词：皮肤溃疡 超脉冲光生物调节 护理干预 效果评价 

分 类 号：R632.1[医药卫生—外科学]