压力性损伤创面治疗方法研究进展  

Research progress in the treatment of pressure injury

作　　者：张铭 于浩 陈铭锐 Zhang Ming;Yu Hao;Chen Mingrui(Clinical Medical College of Weifang Medical College,Weifang 261053,China;Department of Burn and Plastic Surgery,960th Hospital,Joint Logistics Support Force,Jinan 250031,China)

机构地区：[1]潍坊医学院临床医学院,潍坊261053 [2]联勤保障部队第九六○医院烧伤整形科,济南250031

出　　处：《中华整形外科杂志》2024年第11期1255-1262,共8页Chinese Journal of Plastic Surgery

基　　金：济南市烧创伤与慢性创面临床医学研究中心项目(201912010)。

摘　　要：压力性损伤创面是临床上常遇到的一种慢性难愈合创面,愈合过程往往不能顺利进行,是临床创面修复领域的难题之一。目前创面治疗方法发展迅速,对1、2期压力性损伤创面具有明显疗效,治疗3、4期压力性损伤创面尚缺少有效手段,多采用手术治疗,但手术治疗存在叠加损伤风险,可能加重病情,另外治疗效果也有待提升,需要探索高质量、创伤小、成本低的方案来解决这一难题。该文从压力性损伤的定义、分类、形成机制、临床表现、影响因素、治疗方法等方面进行综述,旨在为压力性损伤创面的临床治疗提供参考。Pressure injury is a kind of chronic wound that is difficult to heal in clinical practice.The healing process often fails to proceed smoothly,which is one of the difficult problems in the field of clinical wound repair.At present,the wound treatment method has developed rapidly and has an obvious curative effect on stage 1 and 2 pressure injuries.There are fewer treatments for stage 3 and 4 pressure injuries,and surgical treatment is often used.However,surgical treatment has the risk of superimposed injury,which may aggravate the condition.In addition,the treatment effect needs to be improved.It is necessary to explore high-quality,minimally invasive,and low-cost solutions to solve this problem.This article reviews the definition,classification,formation mechanism,clinical manifestations,influencing factors,and treatment methods of pressure injury,aiming to provide a reference for the clinical treatment of pressure injury wounds.

关 键 词：压力性溃疡 创伤和损伤 伤口愈合 

分 类 号：R632.1[医药卫生—外科学]