——??關于慢性傷口??——

——??關于慢性傷口??——

副標題

慢性創面已成為我國體表創面的主要形式
病因復雜,往往由各種慢性病引起
老年患者居多,嚴重影響患者晚年生活質量
患者家庭負擔大:治療周期長、愈合難,親屬看護壓力大
我國每年有3000萬性難愈合創面。
我國糖尿病患者1.14億。
糖尿病足潰瘍是糖尿病常
見的并發癥之一。預計
15-20%的糖尿病患者
最終會患糖尿病足潰瘍。
大部分慢性創面患者會前
往醫院就診。但是有約
20-30%的慢性創面患
者會長期居家臥床。這其
中以農村空巢老人的壓瘡
問題最為嚴重。
2018我國60歲以上老人
已達2.41億。
糖尿病足潰瘍
壓瘡
我國慢性創面患者分布:
900萬
壓瘡
600萬
糖尿病足
700萬
感染性潰瘍
250萬
血管性潰瘍
550萬
其他
——??關于NPWT ?——

——??關于NPWT ?——

副標題

      以上文字摘自《EWMA DOCUMENT: NEGATIVE PRESSURE WOUND THERAPY  OVERVIEW, CHALLENGES AND PERSPECTIVES(EWMA文檔 負壓傷口治療,回顧、挑戰及展望) 》2017年版。
European Wound Management Association(EWMA),歐洲傷口管理協會。

      NPWT至今已在全球治療服務患者超過1000萬,對于各類急慢性傷口,由海內外各傷口治療組織或
協會,發布了針對不同類型傷口的NPWT臨床論文超過3000份,包括得到廣受認可的治療指南或共識文
獻等。NPWT治療各種急慢性傷口的療效及價值,在全球范圍內已廣為認可。
1 Bobkiewicz, A., Banasiewicz, T., Ledwosinski, W., Drews, M. Medical terminology associated with Negative Pressure
Wound Therapy (NPWT). Understanding and misunderstanding in the field of NPWT. Negative Pressure Wound
Therapy. 2014; 1: 2, 69–73.
2 Hampton, J. Providing cost-effective treatment of hard-to-heal wounds in the community through use of NPWT. Br J Community Nurs 2015; 20: Suppl
6, S14–S20.
3 Apelqvist, J., Armstrong, D.G., Lavery, L.A., Boulton, A.J. Resource utilization and economic costs of care based on a randomized trial of vacuum-assisted closure therapy in the treatment of diabetic foot wounds. Am J Surg 2008; 195: 6, 782–788.
4 Acosta, S., Bjarnason, T., Petersson, U. et al. Multicentre prospective study of fascial closure rate after open abdomen with vacuum and mesh-mediated fascial traction.
Br J Surg 2011; 98: 5, 735–743. 5 Kaplan, M. Negative pressure wound therapy in the management of abdominal compartment syndrome. Ostomy Wound Manage 2005; 51: 2A Suppl, 29S–35S. 6 Swan, M., Banwell, P. Topical negative pressure. Advanced management of the open abdomen. Oxford Wound Healing Society. 2003. 7 Fuchs, U., Zittermann, A., Stuettgen, B. et al. Clinical outcome of patients with deep sternal wound infection managed by vacuum-assisted closure compared to conventional therapy with open packing: a retrospective analysis. Ann Thorac Surg 2005; 79: 2, 526–531. 8 Fleck,T., Gustafsson, R., Harding, K. et al. The management of deep sternal wound infections using vacuum assisted closure? (V.A.C.?) therapy. Int Wound J 2006; 3: 4, 273–280. 9 Armstrong, D.G., Lavery, L.A., Diabetic Foot Study Consortium. Negative pressure wound therapy after partial diabetic foot amputation: a multicentre, randomised controlled trial. Lancet 2005; 366: 9498, 1704–1710. 10 Blume, P.A., Walters, J., Payne, W. et al. Comparison of negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy in the treatment of diabetic foot ulcers: a multicenter randomized controlled trial. Diabetes Care 2008; 31:4, 631–636. 11 Trueman, P. Cost-effectiveness considerations for home health V.A.C. Therapy in the United States of America and its potential international application. Int Wound J. 2008; 5: Suppl 2, 23–26.

      NPWT(Negative Pressure Wound Therapy 負壓傷口治療)是上世紀90年代以來發展起來的關于傷口治療的新技術。自被引入臨床實踐以來,負壓傷口治療已廣泛應用于門診和住院中復雜傷口的管理*1。       NPWT被認為是許多不同病因的傷口的有效治療方案*2,3,并被推薦作為治療創面的金標準-如開放式腹部傷口*4-6,心臟手術后的開裂胸骨傷口*7,8等,以及各種復雜難愈合創面*9,10中的有價值的治療方案。越來越多的NPWT被應用在居家傷口管理中,其被認為在提升傷口管理效果方面具有巨大潛力,有助于減少對醫院護理的依賴*11。
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