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作 者:周彦彤 王成 Zhou Yantong;Wang Cheng(Peking University Health Science Center,Beijing 100191,China;Department of Bums,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China)
机构地区:[1]北京大学医学部,100191 [2]首都医科大学、附属北京积水潭医院烧伤科,100035
出 处:《中华损伤与修复杂志(电子版)》2025年第2期163-168,共6页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
基 金:北京市自然科学基金项目(7242076)。
摘 要:创面是指由意外、手术、压力或疾病等各种原因造成的皮肤或黏膜完整性的缺损或破坏。创面敷料为人体组织破坏后暂时的皮肤替代物,是创面管理中必不可少的关键治疗材料。与传统敷料相比,新型敷料在有效覆盖创面、吸收渗液以及保持湿润的同时,还可发挥抑菌抗感染、自体清创、减轻疼痛以及加速创面愈合等多种作用,广泛应用于各种临床创面治疗。目前,临床可供选择以及正在研发的创面敷料类型较多,其优缺点和临床适应证各不相同。创面敷料的应用应从临床需求出发,根据创面性质、患者症状以及经济效益等多个方面综合考量。本综述分析了目前主要应用的以及最新研发的不同新型敷料的特点、临床应用以及研究进展,以期为临床创面敷料的选择以及功能优化提供指导和方向。Wounds refer to the loss or disruption of the integrity of the skin or mucous membranes caused by various factors such as accidents,surgery,pressure,or disease.Wound dressings act as temporary skin substitutes following tissue damage and are essential therapeutic materials in wound management.Compared to traditional dressings,new dressings not only effectively cover wounds,absorb exudate,and maintain moisture but also possess various functions such as antimicrobial action,infection prevention,autolytic debridement,pain relief,and promotion of wounds healing,making them widely applicable in various clinical settings.Currently,there are many types of wound dressings available for clinical selection and under development,each with distinct advantages,disadvantages,and clinical indications.The application of wound dressings should be based on clinical needs,considering factors such as the nature of the wounds,patient symptoms,and cost-effectiveness.This article reviews and analyzes the characteristics,clinical applications,and research progress of the main used and newly developed types of new dressings,aiming to provide guidance and direction for the selection and functional optimization of clinical wound dressings.
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