温敏型生物材料应用于肛肠术后创面保护的专家共识OA
Expert Consensus on Thermosensitive Biomaterials for Postoperative Wound Protection After Anorectal Surgery
本文围绕肛肠手术后创面保护与管理中的关键问题,基于国内外相关指南、专家共识、临床研究及专家经验,结合肛肠术后创面的病理生理特点,对疼痛评估、基础治疗、药物干预、温敏型生物材料应用、疗效评价及随访管理等内容进行总结,并形成推荐意见.共识强调,创面保护应贯穿围术期管理全过程,重视局部清洁、维持湿性环境、减少污染和摩擦刺激,以及综合控制疼痛、渗出和感染风险;对于温敏型羟丁基壳聚糖等材料,建议在无感染且渗出已控制的创面中审慎应用.规范化创面管理有助于改善肛肠术后疼痛控制与创面愈合结局,但温敏型生物材料在该领域的直接高质量证据仍有限,尚需进一步研究验证.
This article focuses on the key issues in wound protection and management after ano-rectal surgery.Based on relevant domestic and international guidelines,expert consensus,clinical studies,and expert experiences,and combined with the pathophysiological characteristics of wounds after anorectal surgery,it summarizes pain assessment,basic treatment,pharmacological interven-tions,the application of temperature-sensitive biomaterials,efficacy evaluation,and follow-up man-agement,and forms recommendation opinions.The consensus emphasizes that wound protection should be integrated throughout the entire perioperative management process,with attention to local cleansing,maintaining a moist environment,reducing contamination and friction stimuli,as well as comprehensively controlling pain,exudation,and the risk of infection.For materials such as tem-perature-sensitive hydroxybutyl chitosan,it is recommended to apply them cautiously in wounds without infection and with controlled exudation.Standardized wound management helps improve pain control and wound healing outcomes after anorectal surgery.However,there is still limited direct high-quality evidence regarding temperature-sensitive biomaterials in this field,and further research is needed for verification.
于永铎;林爱珍;张虹玺;曹波;石荣;高记华;沙静涛;高宗跃;曲牟文;韩宝;孙锋;张书信;席作武;王真权;廖鹏;赵向东;代红雨;尹兴亮;章阳;张相安;史学文;路越;殷志韬
辽宁中医药大学附属第二医院,辽宁沈阳,110034湖北省中医院,湖北武汉,430061辽宁中医药大学附属第三医院,辽宁沈阳,110005贵州中医药大学附属第一医院,贵州贵阳,550001福建中医药大学附属人民医院,福建 福州,350004河北省中医院,河北石家庄,050011西安市中医医院,陕西西安,710021河南省中医院,河南郑州,450002中国中医科学院广安门医院,北京,100053中国人民解放军总医院第一医学中心,北京,100853广州中医药大学第一附属医院,广东 广州,510405北京中医药大学东直门医院,北京,100700河南省中医院,河南郑州,450002湖南中医药大学附属第二医院,湖南长沙,410005南昌大学第一附属医院,江西南昌,330006深圳市中医院,广东 深圳,518033北京中医药大学东方医院,北京,100078兴义市人民医院,贵州兴义,562400南京市中医院,江苏南京,210022河南中医药大学附属第一医院,河南郑州,450000山东中医药大学附属医院,山东济南,250011辽宁中医药大学附属第三医院,辽宁沈阳,110005沈阳市肛肠医院,辽宁沈阳,110002
医药卫生
肛肠手术术后疼痛创面保护伤口愈合壳聚糖水凝胶温敏型羟丁基壳聚糖专家共识
anorectal surgerypostoperative painwound protectionwound healingchi-tosanhydrogeltemperature-sensitive hydroxybutyl chitosanexpert consensus
《实用临床医药杂志》 2026 (9)
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