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目的探讨湿性敷料用于手足痛风结石刮除术后伤口不愈合创面治疗的临床疗效。方法对2010年4月-2014年1月治疗的15例手足痛风结石刮除术后伤口不愈合创面患者,术前、术后采取药物治疗、饮食管理、生活方式改变、健康指导等综合治疗手段,控制患者血尿酸浓度。在伤口愈合的3个阶段(清创期、增生期、成熟期)根据痛风结石伤口的特点和充分考虑伤口的不同情况,选择性应用湿性敷料进行处理,观察其伤口创面的治疗效果,以及患者全身状况的恢复。结果 15例患者痛风结石刮除术后不愈伤口均痊愈,平均治疗时间(40±5)d,痛风均未再复发。结论湿性敷料处理痛风结石刮除术后不愈伤口可促进创面的愈合,同时配合综合治疗手段能尽快恢复患者的健康。
Objective To investigate the clinical efficacy of wet dressing in the treatment of non-healed wounds after hand-foot-cure gout calcification. Methods From April 2010 to January 2014, 15 cases of patients with non-healed wounds were treated with curettage of gouty wind and stone after operation. The patients were treated with comprehensive medical treatment, diet management, lifestyle change and health guidance before and after operation , Control of serum uric acid concentration. In the three stages of wound healing (debridement, hyperplasia, maturation) according to the characteristics of gouty wounds and give full consideration to the different wounds, selective application of wet dressing treatment to observe the wound healing of the wound, and patients The recovery of the general condition. Results All the 15 patients were cured after the curettage of gout and wind stones, and the mean treatment time was 40 ± 5 days. No recurrence of gout was found. Conclusions Wound dressing can cure wound healing after curettage of gout stones and promote the healing of wounds. At the same time, combined with comprehensive treatment, patients’ health can be restored as soon as possible.