目前我科在伤口评估和新型敷料应用上,积累了丰富的临床经验,包括水胶体敷料、水凝胶敷料、藻酸盐类敷料、亲水性纤维敷料、泡沫敷料、高渗盐敷料、交互性敷料、异种脱细胞真皮基质敷料等多种新型敷料。含银、生长因子、胶原蛋白、人工皮等生物活性敷料。伤口新型敷料:糖尿病足主要表现为足的溃疡、感染、坏疽。由于周围神经病、周围血管病和感染,糖尿病足伤口相对常人,愈合较为缓慢。除给予清创、下肢血管介入治疗、负压吸引治疗外,伤口敷料的应用对糖尿病足的愈合也是非常的重要和必要。研究及临床治疗经验表明,湿润的环境有利于创面的愈合。新型敷料的开发建立在湿性愈合的理论下,机理有以下几点:①利于坏死组织的溶解,加速清创;②维持创面局部微环境的低氧状态,加速肉芽组织的形成;③有利于细胞增殖分化和移性,有助于创面愈合;④降低感染的机会;⑤避免敷料更换时再次机械性损伤。
糖尿病足新型敷料
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