建设规范化和标准化创面修复科 在中国的实践

付小兵' '解放军总医院第四医学中心，北京100048
通信作者:付小兵，Email :fuxiaobing@ vip. sina. com,电话:010 - 66867396

[摘要]本文基于国家 卫生健康委刚刚发布的“关于加强体表慢性难愈合创面(溃疡)诊疗
管理工作的通知”精神以及同时发布的有关“医疗机构创面修复科基本标准”和“创面修复科临床
医师,护士基本技能要求”两个指导性文件,结合前期我们在探索建立创面修复学科体系的具体实
践，分几个方面就如何高质量高水平建设具有中国特色的创面修复科进行解读,并提出相关建议，
仅供读者参考。

[关键词]创面; 修复;国家 卫生健康委
D0I: 10.3760/cma. j. issn. 1001 - 8050. 2020. 03. 000
Application of constructing standardized and well - developed wound repair department in China Fu Xiaobing Fourth Medical Center, PLA General Hospital, Beijing 100048 , China Corresponding author: Fu Xiaobing, Email fuxiaoobing@ rip. sina. com, Tel :0086 66867396

[Abstract] Bused on the spirit of the regulations about diagnosis and treatment of chronic skin wounds and its standardization for doctors and muses just issued by National Health and Health Commission and our practices in this field, we offer our understanding and comments for these standardization. We emphasize that a well-developed wound repair department with Chinese characteristic in China will be build with the standardization. The aim will offer the high quality and excellent service for these patients.

[Key words] Wounds; Repair; National Health and Health Commission

DOI:10. 3760/cma. j. issn. 1001 - 8050.2020. 01.000

The influence of electrical muscle stimulation for diabetic foot ulcers:

Background: A decrease in blood circulation in diabetic foot ulcers (DFU) leads to a reduction in the angiogenesis process, macrophages function, neutrophils, and growth factors, which in turn slow the healing process. However, electrical muscle stimulation (EMS) can be used to stimulate the muscle that leads to the lower limbs, increasing local blood circulation. Aim: This study was conducted to identify changes in the ABI and the wound development score following EMS in DFUs. Methods: We used sequential sampling of respondents who met the inclusion criteria. The control group received standard wound care, while the intervention group received standard wound care plus EMS therapy. EMS intervention was performed for 4 weeks for 30 minutes per day. Result: The intervention group that received standard wound care plus the EMS had better-wound healing than the group that only received standard wound care. Conclusion: EMS can increase nitric oxide, which causes vasodilation of the blood vessels and stimulates cell synthesis and migration to the wound area.

Key words: ■Diabetic foot ulcer  ■Electrical muscle stimulation (EMS)  ■Nitric Oxide  ■Veinoplus Arterial

Sukarni is a lecturer in the Department of Nursing Education, University of Tanjungpura, Pontianak, West Kalimantan, Indonesia; Hikmat Permana is an Internist of Hasan Sadikin Hospital Bandung, West Java; Chandra Isabella is a lecturer in the Department of Nursing Education, University of Padjadjaran, Bandung, West Java, Indonesia

Why do we prevent pressure ulcers and treat a leg ulcers?

JACQUI FLETCHER OBE Clinical Editor, Wounds UK

Ten top tips: Wound irrigation

Author: Joyce Black

Joyce Black is Professor, College of Nursing, University of Nebraska Medical Center, Omaha, Nebraska, US

Surgical incision care — negative pressure wound therapy and advanced dressings

This meeting report is based on the Mölnlycke-sponsored workshop held at the sixth World Union of Wound Healing Societies (WUWHS) Congress on March 1–5, 2022, in Abu Dhabi, United Arab Emirates. The workshop, titled ‘Surgical incision care — negative pressure wound therapy and advanced dressings: what to use and when’, included presentations from Kylie Sandy Hodgetts, Rhidian Morgan-Jones and Amit Gefen. The topics of surgical dressings, risk assessment and requirements of closed-incision negative pressure wound therapy (ciNPWT) were all explored.

Authors:

Rhidian Morgan-Jones (Chair), Amit Gefen and Kylie Sandy-Hodgetts

Rhidian Morgan-Jones (Chair) is Consultant Orthopaedic Surgeon, Cardiff Knee Clinic, University Hospital Llandough, Cardiff, UK; Amit Gefen is Professor of Biomedical Engineering and the Herbert J. Berman Chair in Vascular Bioengineering, Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel; Kylie Sandy-Hodgetts is Associate Professor, Centre of Molecular Medicine & Innovative Therapeutics, Murdoch University; Senior Research Fellow, Director Skin Integrity Research Institute, School of Biomedical Sciences, University of Western Australia, Perth, Australia.

Spina Bifida with foot deformity and a chronic non-healing ulcer in a 12-year-old boy: a case study

Abstract: Congenital dermal sinuses are a distinctive form of occult dysraphism where patients present with neurological compression, tethering, or meningitis. This is a case study of a child presenting with spina bifida with foot deformity and a chronic non-healing ulcer after excision of dermal sinus, and subsequent tethered cord due to arachnoiditis. He developed osteomyelitis and postoperatively, a non-healing ulcer, in an insensate foot. The patient was successfully managed, and complete wound healing was achieved within three months. A multidisciplinary approach to monitor, prevent and treat complications that may impact functionality, quality of life and survival of young patients with congenital dermal sinuses is needed.

Key words: ■ Congenital dermal sinus ■ Foot deformity ■ Insensate foot ■ Non-healing ulcer

Sunil V. Kari, Dr, MS, General Surgery, Sou. Mandakini Memorial Clinic, A unit of Mandakini Medi Engg Health Pvt Ltd, Bhagya plaza, NCM, Hubballi, India;

Vilasavati SS. Kanthi, Dr. MBBS, DCH, Sou. Mandakini Memorial Clinic, A unit of Mandakini Medi Engg Health Pvt Ltd, Bhagya plaza, NCM, Hubballi, India.