지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Background: Diabetic foot ulcers (DFUs), a risk factor for infection, remain a difficult clinical complication. Infected DFUs may be associated with lower extremity amputation. To achieve wound healing and avoid amputation, an assortment of dressing materials and negative pressure wound therapy (NPWT) have been used on soft tissue injuries resulting from infected DFUs. A great deal of interest about the use of dressing materials and NPWT in the treatment of DFUs has arisen. However, there have only been a few high-quality studies regarding this topic. Current Concepts: Ideal dressing materials should satisfy certain conditions to alleviate symptoms of DFU infection and enhance the wound healing process. A single dressing material cannot fulfill all of these requirements. Based on clinical trials, different dressing materials must be chosen according to the status of the individual wound environment, including the amount of exudate, degree of pain, severity of the infection, and cost-effectiveness. However, there has been no clear evidence that advanced wound dressing materials are superior to basic dressing materials in wound healing. Recently, NPWT has been used to cover the soft tissue defects of infected DFU with granulation tissue. NPWT may contribute to changing growth factor expression, micro- and macro-deformation, vascular flow, amount of exudate, and the bacterial environment in DFU, despite the unclear mechanism of its role in wound repair. Discussion and Conclusion: Further research to obtain high-quality evidence regarding the benefits of using dressing materials and NPWT is needed. The optimal protocol for DFU and cost-effectiveness should be included in these future studies
목차
등록된 정보가 없습니다.
참고문헌 (5)
참고문헌 신청
서현석 / 2015 / 당뇨병성 궤양 / 대한의사협회지 58(9):795~800
Uccioli L / 2015 / Non-healing foot ulcers in diabetic patients : general and local interfering conditions and management options with advanced wound dressings / J Wound Care 24(4Suppl):35~42
Hilton JR / 2004 / Wound dressings in diabetic foot disease / Clin Infect Dis 39(Suppl 2):S100~S103
서동교 / 2014 / 당뇨병성 족부 궤양의 치료 / 대한족부족관절학회지 18(1):1~7
이호승 / 2013 / 당뇨발의 예방과 치료 / 대한의사협회지 56(3):220~228
Uccioli L / 2015 / Non-healing foot ulcers in diabetic patients : general and local interfering conditions and management options with advanced wound dressings / J Wound Care 24(4Suppl):35~42
Hilton JR / 2004 / Wound dressings in diabetic foot disease / Clin Infect Dis 39(Suppl 2):S100~S103
서동교 / 2014 / 당뇨병성 족부 궤양의 치료 / 대한족부족관절학회지 18(1):1~7
이호승 / 2013 / 당뇨발의 예방과 치료 / 대한의사협회지 56(3):220~228
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