糖尿病足溃疡创面治疗专家共识(２０２４)

中华医学会内分泌学分会中国内分泌代谢病专科联盟

【提要】糖尿病足溃疡(diabetic foot ulcer,DFU)是糖尿病患者致残、致死的主因之一,致病因素复杂,严重危及生命,带来巨大的社会和经济负担。本共识专家组结合最新临床研究进展,总结我国糖尿病足溃疡的临床诊疗经验,从糖尿病足溃疡评估、整体治疗与创面修复治疗等方面形成共识,指导临床实践。

【关键词】糖尿病;糖尿病足溃疡;创面修复;创面敷料;共识

DO1:10.3760/cma.j.cn311282-20240625-00281

Expert consensus on wound treatment of diabetic foot ulcer( 2024)

Chinese Society of Edndocrinology , China Endocrinology and Metabolism Specialist Alliance

【Summary) Diabetic foot ulcer ( DFU) is one of the main causes of disability and death in diabeticpatients. This life-threatening condition arises from complex pathogenic factors , leading to substaintial societal andeconomic burdens. The expert group summarizes the latest research worldwide and the experience of clinical diagnosisand treatment of DFU in China. To guide clinical practice，the consensus forms from the aspects of evaluation,systemic treatment ,and DFU wound therapeutics.

【Key words】Diabetes mellitus;Diabetic foot ulcer; Wound healing; Wound dressing ; Consensus

DOI: 10.3760/ cma.j.cn311282-20240625-00281

腋臭微创清除术护理研究进展综述

利宝平，童 梅，林敏华

广州市海珠区妇幼保健院 广东广州

【摘要】腋臭微创清除术是当前治疗腋臭的常见方法，而专业到位的腋臭微创清除术护理，是提升手术效果、

加快患者康复进度的必要条件。本文主要对腋臭微创清除术的护理研究进展进行全面分析，重点阐明术前、术中、

术后等护理环节要点，以期为腋臭微创清除术护理实践提供相应指导依据。

【关键词】腋臭微创清除术；护理；研究进展

【收稿日期】2025 年 11 月 13 日 【出刊日期】2025 年 12 月 10 日 【DOI】10.12208/j.ijnr.20250621

A review of nursing research progress in minimally invasive surgery for axillary osmidrosis

Baoping Li, Mei Tong, Minhua Lin

Haizhu District Maternal and Child Health Care Hospital of Guangzhou, Guangzhou, Guangdong

【Abstract】Minimally invasive surgery for axillary osmidrosis is a common treatment for bromhidrosis. High-quality nursing care plays a crucial role in improving surgical outcomes and promoting patient recovery. This paper provides a comprehensive analysis of research progress in nursing care for minimally invasive axillary osmidrosis surgery, with a focus on preoperative, intraoperative, and postoperative nursing. The aim is to offer practical guidance for clinical nursing practice in this field.

【Keywords】Minimally invasive surgery for axillary osmidrosis; Nursing; Research progress

Stabilized Hypochlorous Acid to Prevent Adipose Graft Infection in Body Contouring: A Clinical Study of 1902 Muscle Groups

Alfredo E. Hoyos，MD^D；Mauricio E. Perez Pachon，MD^D;
Matt Stefanelli，MD；Mariana Borras Osorio, MD； Justo Calderon
Mendoza，MSc；Maria Paula Castiblanco，MD；
Mateo Leon Machicado，MD；and Andres Pinzon Valero，MD

Abstract
Background: Despite the general safety of liposuction and fat grafting procedures，surgical-site infections (SSIs) remain a significant concern. These infections, ranging from minor to severe，can arise from various sources and pose a substantial burden. The overuse of antibiotics has led to increased antimicrobial resistance，highlighting the need for alternative infection prevention strategies like stabilized hypochlorous acid (s-HOCl). Objectives: The aim of the authors of this study is to evaluate the efficacy and safety of s-HOCl in preventing SSIs following liposculpture and other body contouring procedures. Methods: A prospective cohort study and matched control cohort were conducted at a single plastic surgery center in Bogota，Colombia (Dhara Clinic). Adult patients scheduled for liposculpture and fat grafting from January 2020 to December 2023 formed the intervention group，receiving s-HOCl as a washing solution for adipose grafts. A matched control cohort was drawn from patients who underwent similar procedures from January 2017 to December 2019 without s-HOCl. Data on demographics，surgical characteristics，and SSI outcomes were collected and analyzed. Results: A total of 1008 patients were included，with 502 in the s-HOCl group and 506 in the control group. The infection rate in the s-HOCl group was 0.2 per 100 grafted muscles, compared with 0.54 in the control group. Relative risk of SSIs in the s-HOCl group was 0.4，indicating a reduction in infection rates. The small absolute risk reduction of 0.59% underscores the clinical importance，considering SSIs, although rare，are severe and life-threatening events，with significant impact on outcomes and healthcare costs. A reduction in the severity of infection and the level of required treatment was also observed. Conclusions: s-HOCl demonstrated potential to reduce SSI risk following liposuction and fat grafting. This intervention offers a valuable alternative to antibiotics，effectively reducing infection rates and contributing to improved patient outcomes and public health in postantibiotic era.

次氯酸在伤口护理中的应用研究进展

王昳娜¹，何振华¹，周瑾¹，孙晓芬²

1.绍兴文理学院元培学院，浙江 312000；2.浙江中医药大学附属第二医院

Research progress on the application of hypochlorous acid in wound care

WANG Yi'na，HE Zhenhua，ZHOU Jin，SUN Xiaofen

Shaoxing University，Yuanpei College，Zhejiang 312000 China

Keywords hypochlorous acid solution；wound；infection；bacterial biofilm；clinical application；review

摘要 介绍了次氯酸溶液的发展史、杀菌机制、特点、与其他伤口清洁消毒剂的比较、使用方法以及当前研究的不足，旨在为次氯酸

溶液在伤口治疗、护理中的应用提供依据。

关键词 次氯酸溶液；伤口；感染；细菌生物膜；临床应用；综述

四年深耕，中德携手再谱创面修复新篇章——第四期ICW培训班羊城启幕

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次氯酸消毒剂的临床应用研究进展

杨金燕¹，孙丹¹，夏婷婷¹，施施¹，杨育卉²，闫中强^1.3

1.解放军总医院海南医院疾病预防控制科2.血液科，海南 三亚 572014；3.解放军总医院第二医学中心疾病预防控制科，北京 100039

摘要:次氟酸消毒剂以其强大的消毒杀菌能力和环境友好特性，在医疗领域得到广泛关注及应用。有效浓度的次氟酸不仅能高效杀灭细菌、病毒等微生物,同时具有低毒、无残留、低腐蚀性等优势,适用于各种精密设备及复杂的医疗场景。次氯酸消毒剂可用于儿科病房、血液透析室等重点医疗场所的环境消毒。此外，在口腔护理、伤口处理、手术部位消毒等领域展现了独特的优势。本文探讨了次氯酸消毒剂的性能,为其在医疗机构的合理应用提供参考。随着清洁消毒技术的不断进步和应用的深入拓展，次氟酸消毒剂在医疗领域的应用前景将更加广阔。

关键词:次氯酸；次氯酸消毒剂；医疗机构；理化性质；临床消毒

中图分类号:R187 文献标识码:A 文章编号:1005-4529（2025）03-0476-05

Progress of research on clinical application of hypochlorous acid disinfectant

YANG Jinyan*，SUN Dan，XIA Tingting，SHI Shi，YANG Yuhui，YAN Zhongqiang*  Hainan Hos pital of PLAGeneral Hospital，Sanya ，Hainan 572014，China

Abstract: Hypochlorous acid disinfectant has been widely noticed and applied in the medical field due to its power-ful disinfecting and sterilizing ability and environmental friendly characteristics.Effective concentration of hypo-chlorous acid disinfectant can not only efficiently kill bacteria,viruses and other microorganisms, but also has theadvantages of low toxicity,no residue and low corrosion，which is suitable for all kinds of complicated equipmentand complex medical scenarios,It can be used for environmental disinfection in major medical places such as pedi-atric wards and hemodialysis rooms,In addition,it demonstrates unique advantages in the oral care,wound treat-ment， and surgical site disinfection, This article explores the properties of hypochlorous acid disinfectant to pro-vide reference for the reasonable application in healthcare facilities,With the continuous progress of cleaning anddisinfection technology and ir-depth expansion of application,the prospect of hypochlorous acid disinfectant appli-cation in the medical field will be broader.

Key words:Hypochlorous acid;Hypochlorous acid disinfectant; Medical institution;Physicochemical property;Disinfection