苏托莫医生总医院2015-2020年慢性伤口患者临床分析

Nurvania aurellia Budirahmadina, D. S. Perdanakusuma, Evy Ervianti, Iswinarno doso Saputra
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摘要

背景:由于不能继续正常愈合过程而持续较长时间的伤口可称为慢性伤口。慢性创伤是由多种因素引起的。在慢性伤口中经常发现一些问题,如渗出物、坏死组织和细菌的存在。慢性伤口的发生率与高治疗费用和生活质量受损密切相关。需要及时处理伤口以优化伤口愈合。目的:了解2015 - 2020年泗水Soetomo综合医院整形外科收治的慢性伤口患者的情况。方法:采用全抽样方法从患者病历中获取资料,包括年龄、性别、既往病史、临床特征、诊断、处理、转归等。结果:本研究共纳入53例患者,以男性患者为主(70%),年龄46 ~ 65岁(34%)。患者病史显示大多数患者患有2型糖尿病(22%)。经常出现的问题是渗出物的存在,这主要被诊断为压疮(40%)。所有患者均进行了伤口床准备,患者预后以恢复为主(72%)。结论:影响创面愈合的因素有很多,及时处理创面是提高创面愈合效果的重要因素。
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The Clinical Profile of Patients with Chronic Wounds at Dr. Soetomo General Hospital 2015-2020
Background: Wounds that have lasted a long time due to failure to continue the normal healing process can be called chronic wounds. Chronic wounds occur due to multiple factors. There are problems that are often found in chronic wounds, such as the presence of exudate, necrotic tissue, and bacteria. The incidence of chronic wounds is closely related to the high cost of treatment and impaired quality of life. Prompt wound management is needed to optimize wound healing. Purpose: To determine the profile of chronic wounds in patients treated by the Department of Plastic Surgery Dr. Soetomo General Hospital Surabaya from 2015 – 2020. Methods: The data were obtained from patients medical records through total sampling technique, which consist of age,   gender, past medical history, clinical features, diagnosis, management, and outcome. Result: This study involved 53 patients, dominated by male patients (70%) aged 46-65 years old (34%). The patient’s history showed that most patients suffered from type 2 diabetes (22%). The problem that often occurs is the presence of exudate which is mostly diagnosed with pressure ulcers (40%). All patient get wound bed preparation and the patient's outcome was dominated by recovery (72%). Conclusion: There are several factors affecting wound healing and prompt wound management are important to improving the outcomes.
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