摘要创面愈合过程复杂而有序,是由多种细胞、细胞因子等在机体的调控下完成的生物学过程.恰当的创面处理能有效促进创面愈合,提高创面愈合质量.随着现代医学的不断发展,创面处理出现了许多新器械、敷料和药物,主要包括抗菌敷料、湿性敷料、精确清创、负压治疗、生长因子和真皮替代物等,为创面处理带来了革命性的手段.本文总结了比较确切有效或成熟的创面处理方法,为临床上不同阶段选择适合的创面处理方法提供理论总结和实践依据.

abstractsWound healing is a complex and sequential biological process involving various cells and factors under body's regulation.Appropriate interventions play positive roles in promoting effective wound healing and improving healing quality.In the clinical practice,there are many new instruments,dressings,and drugs developed for wound care,including antibacterial dressings,wet dressings,precise debridement,negative pressure wound therapy,cytokines/growth factors,and dermal substitutes,which provide revolutionary means for wound treatment.This article summarizes the effective or mature methods in wound care,providing theoretical and practical basis for choosing appropriate treatment methods in different stages of wound.