MEBT/MEBO再生愈合創(chuàng)瘍的臨床操作技巧

摘要： MEBT/MEBO雖已在各國(guó)糖尿病潰瘍及創(chuàng)傷創(chuàng)面感染的臨床治療中獲得了前所未有的療效,但還需要從臨床實(shí)踐的角度進(jìn)一步精益求精地提高治療水平,作者總結(jié)多年的臨床經(jīng)驗(yàn),將臨床操作技巧報(bào)告給大家。以糖尿病足潰瘍?yōu)槔?介紹皮膚原位再生復(fù)原技術(shù)治療創(chuàng)瘍創(chuàng)面的技術(shù)要點(diǎn),主要包括:盡早行足底隔室減壓和徹底清創(chuàng)引流;術(shù)后立即使用濕潤(rùn)燒傷膏藥紗條填塞、覆蓋創(chuàng)面,為創(chuàng)面再生修復(fù)提供生理濕潤(rùn)環(huán)境及再生營(yíng)養(yǎng)物質(zhì):在此基礎(chǔ)上可采取暴露或包扎療法治療,根據(jù)創(chuàng)面修復(fù)情況及時(shí)、規(guī)范換藥。只要及時(shí)規(guī)范地應(yīng)用皮膚原位再生復(fù)原技術(shù)進(jìn)行治療,糖尿病足潰瘍即可治愈,免去患者截肢痛苦。下圖是糖尿病足潰瘍治療過(guò)程中的典型病例圖片,詳細(xì)病例資料請(qǐng)觀看本期雜志所附光盤(pán)。
Ahhough an unprecedented efficacy of MEBT/MEBO in the clinical treatment of diabetic uhcers and traumatic wound with infection has been revealed,it is necessary to further improve the level of treatment from tile perspective of clinical practice.The author summarized the clinical experience of years and shared his clinical operating skills in this report with diabetic foot ulcer as an example.The introduction of skills operating MEBT/MEBO in the treatment of wounds and ulcers included:plantar compartment deeompression and thorough debridement and drainage as early as possible;immediate postoperative use of moist exposed burn ointment(MEBO)impregnated gauze In pack and cover the wound so as to,naintain the physiologically moist environment and regenerative nutrients supply for wound regeneration;either exposure or bandage therapy can be taken and dressing is changed in a timely and standardized manner hased on the wound condition.Timely and standardized application of MEBT/MEBO can cure diabetic foot ulcers,avoiding amputations. The following figures show the typical case of MEBO application in diabetic foot uhcer treatment and please refer to the aeenmpanying DVD with the current issue of the Journal for more detailed case data.