Application of Wet Dressing in Treating Non-healing of Wound after Gout Stone Curettage_West China Medical Journal

Authors：

 LIYe-ping , HEHui-lin , WANGTao , TANGShi-tian

Department of Orthopedics, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;

Corresponding?author：

Keywords：

Wet dressing; Gout stone; Wound; Curative effect

DOI：

10.7507/1002-0179.20140494

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Objective To explore the clinical effects of wet dressing in treating non-healing wound caused by gout stone curettage. Methods Fifteen patients with non-healing wound after hand and foot gout curettage between April 2010 and January 2014 were included in our study. Medication, diet management, lifestyle changes, and health guidance were carried out before and after surgery to control patients' uric acid concentration. Through evidence-based method and considering the characteristics of gout stone curettage wound, we selectively used wet dressing to deal with the wound during the three processes of wound healing:debridement, hyperplasia, and maturing. The curative effect and patients' recovery were observed. Results All the 15 cases of wound were cured, and the average treatment time was (40±5) days No recurrence occurred. Conclusion Wet dressing can promote healing of gout stone curettage wound. With comprehensive treatment method, it can restore patients' health as soon as possible.

Citation： LIYe-ping, HEHui-lin, WANGTao, TANGShi-tian. Application of Wet Dressing in Treating Non-healing of Wound after Gout Stone Curettage. West China Medical Journal, 2014, 29(9): 1607-1610. doi: 10.7507/1002-0179.20140494 Copy

1.	Nowatzky J,Howard R,Pillinger MH,et al.The role of uric acid and other crystals in osteoarthritis[J].Curr Rheumatol Rep,2010,12(2):142-148.
2.	中華醫學會風濕病學分會.原發性痛風診治指南(草案)[J].中華風濕病學雜志,2004,8(3):178-181.
3.	沙軍,郭春華.晚期手足痛風結石的手術治療[J].中國民族民間醫藥,2012,21(11):64.
4.	莊永青,付強,傅小寬,等.手部痛風的手術治療[J].中華手外科雜志,2006,22(5):296-298.
5.	寧寧,廖燈彬,劉春娟.臨床傷口護理[M].北京:科學出版社,2013:4.
6.	Carville K.Wound care manual[M].5th ed.Osborne Park,Australia:Silver Chain Foundation,2005:82-93.
7.	蔣琪霞.傷口護理臨床實踐指南[M].南京:東南大學出版社,2004:75.
8.	Pamell LK,Ciufi B,Gokoo CF.Preliminary use of a hydrogel containing enzymes in the treatment of stageⅡand stage Ⅲ pressure ulcers[J].Ostomy Wound Manage,2005,51(8):50-60.
9.	K?nig M,Vanscheidt W,Augustin M,et al.Enzymatic versus autolytic debridement of chronic leg ulcers:a prospective randomised trial[J].J Wound Care,2005,14(7):320-323.
10.	王小俊.消腫生肌膏在慢性傷口紅色階段中的運用[J].護理研究,2011,25(36):3340-3341.
11.	黃威,譚佳男,劉曉燕,等.保留皮膚的手部巨大痛風結石切除術[J].中國美容整形外科雜志,2011,22(1):15-17.
12.	Caldas CA,Fuller R.Excellent response to the clinical treatment of tophaceous gout[J].Clin Rheumatol,2007,26(9):1553-1555.
13.	嚴耀明.骨關節痛風結石的手術治療[J].臨床骨科雜志,2011,14(4):425-427.
14.	王清華,蘇秋妹.濕性敷料治療皮膚Ⅱ度燒傷的比較[J].中國組織工程研究,2013,17(8):1513-1520.
15.	Fletcher J.Wound bed preparation and the TIME principles[J].Nurs Stand,2005,20(12):57-65; quiz 66.
16.	陶學霞.濕性愈合療法應用于術后切口二期愈合的臨床觀察[J].護士進修雜志,2008,23(22):2090-2091.
17.	胡愛玲,鄧云珍,戴平,等.慢性傷口護理的誤區[J].護士進修雜志,2003,18(2):178-180.
18.	張偉紅.康惠爾銀離子抗菌敷料治療難治性感染傷口效果觀察[J].護理學雜志,2009,24(16):78-79.
19.	Wurapa RK.Zelouf Ds.Flexor tendon rupture caused by gout:a case report[J].J Hand Surg Am,2002,27(4):591-593.
20.	Winter GD.Formation of the scab and the rate of epithelization of superficial wounds in the skin of the young domestic pig[J].Nature,1962,193(8):293-294.
21.	榮衛平,王麗,梁鋒.濕性敷料在不可分期壓瘡治療中的應用[J].護理研究,2012,26(20):1870-1871.
22.	Schumacher HR,Chen LX.Newer therapeutic approaches:gout[J].Rheum Dis Clin North Am,2006,32(1):235-244,xii.

1. Nowatzky J,Howard R,Pillinger MH,et al.The role of uric acid and other crystals in osteoarthritis[J].Curr Rheumatol Rep,2010,12(2):142-148.
2. 中華醫學會風濕病學分會.原發性痛風診治指南(草案)[J].中華風濕病學雜志,2004,8(3):178-181.
3. 沙軍,郭春華.晚期手足痛風結石的手術治療[J].中國民族民間醫藥,2012,21(11):64.
4. 莊永青,付強,傅小寬,等.手部痛風的手術治療[J].中華手外科雜志,2006,22(5):296-298.
5. 寧寧,廖燈彬,劉春娟.臨床傷口護理[M].北京:科學出版社,2013:4.
6. Carville K.Wound care manual[M].5th ed.Osborne Park,Australia:Silver Chain Foundation,2005:82-93.
7. 蔣琪霞.傷口護理臨床實踐指南[M].南京:東南大學出版社,2004:75.
8. Pamell LK,Ciufi B,Gokoo CF.Preliminary use of a hydrogel containing enzymes in the treatment of stageⅡand stage Ⅲ pressure ulcers[J].Ostomy Wound Manage,2005,51(8):50-60.
9. K?nig M,Vanscheidt W,Augustin M,et al.Enzymatic versus autolytic debridement of chronic leg ulcers:a prospective randomised trial[J].J Wound Care,2005,14(7):320-323.
10. 王小俊.消腫生肌膏在慢性傷口紅色階段中的運用[J].護理研究,2011,25(36):3340-3341.
11. 黃威,譚佳男,劉曉燕,等.保留皮膚的手部巨大痛風結石切除術[J].中國美容整形外科雜志,2011,22(1):15-17.
12. Caldas CA,Fuller R.Excellent response to the clinical treatment of tophaceous gout[J].Clin Rheumatol,2007,26(9):1553-1555.
13. 嚴耀明.骨關節痛風結石的手術治療[J].臨床骨科雜志,2011,14(4):425-427.
14. 王清華,蘇秋妹.濕性敷料治療皮膚Ⅱ度燒傷的比較[J].中國組織工程研究,2013,17(8):1513-1520.
15. Fletcher J.Wound bed preparation and the TIME principles[J].Nurs Stand,2005,20(12):57-65; quiz 66.
16. 陶學霞.濕性愈合療法應用于術后切口二期愈合的臨床觀察[J].護士進修雜志,2008,23(22):2090-2091.
17. 胡愛玲,鄧云珍,戴平,等.慢性傷口護理的誤區[J].護士進修雜志,2003,18(2):178-180.
18. 張偉紅.康惠爾銀離子抗菌敷料治療難治性感染傷口效果觀察[J].護理學雜志,2009,24(16):78-79.
19. Wurapa RK.Zelouf Ds.Flexor tendon rupture caused by gout:a case report[J].J Hand Surg Am,2002,27(4):591-593.
20. Winter GD.Formation of the scab and the rate of epithelization of superficial wounds in the skin of the young domestic pig[J].Nature,1962,193(8):293-294.
21. 榮衛平,王麗,梁鋒.濕性敷料在不可分期壓瘡治療中的應用[J].護理研究,2012,26(20):1870-1871.
22. Schumacher HR,Chen LX.Newer therapeutic approaches:gout[J].Rheum Dis Clin North Am,2006,32(1):235-244,xii.

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Application of Wet Dressing in Treating Non-healing of Wound after Gout Stone Curettage

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