PDF(Pubmed)
Abstract：
Venous ulcers are open wounds commonly associated with chronic venous insufficiency. Each patient\'s healing process is unique, and factors like nutrition and compression therapy can affect it. Compression therapy and optimal nutritional status can assist in improving venous blood circulation, decreasing swelling, and promoting wound healing. This in-depth review looks at all the recent research on how nutrition and compression therapy can help heal venous ulcers, aiming to develop evidence-based guidelines for improving treatment outcomes. The systematic review, registered in the International Prospective Register of Systematic Reviews (PROSPERO) and following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) principles, conducted an extensive electronic search in databases such as PubMed, MEDLINE, Cochrane, Web of Science, and Scopus. Using Medical Subject Headings (MeSH) terms and different types of studies, the search method focused on studies that directly looked at how nutrition and compression therapy affected the healing of venous ulcers. After deduplicating and screening publications, a collaborative full-text review was conducted to determine their inclusion. As a result, several research studies were chosen for the qualitative synthesis. The authors created a data extraction form to document important variables such as demographics, therapy specifics, and wound features. Several studies on patients with venous ulcers have shown that consuming basic nutrients can improve wound healing. Treatment results differed depending on the types of compression and pressure intensity. Although minimal data indicates the possible benefits of two-layer therapy, a definitive comparison is still uncertain. Further clinical studies are necessary to investigate a wider range of dietary factors and to evaluate different treatments in similar situations.
摘要：
静脉溃疡是通常与慢性静脉功能不全相关的开放性伤口。每个病人的治疗过程都是独一无二的,营养和压缩疗法等因素会影响它。压迫治疗和最佳营养状况可以帮助改善静脉血液循环，减少肿胀，促进伤口愈合。这篇深入的综述着眼于最近关于营养和压迫疗法如何帮助治愈静脉性溃疡的所有研究，旨在制定改善治疗结果的循证指南。系统审查，在国际前瞻性系统审查登记册（PROSPERO）中注册，并遵循系统审查和荟萃分析（PRISMA）原则的首选报告项目，在PubMed等数据库中进行了广泛的电子搜索，MEDLINE,科克伦,WebofScience,还有Scopus.使用医学主题词(MeSH)术语和不同类型的研究，搜索方法集中于直接观察营养和压迫疗法如何影响静脉溃疡愈合的研究。在删除和筛选出版物后，进行了合作全文审查，以确定其是否包括在内。因此,选择了几项研究进行定性综合。作者创建了一个数据提取表单来记录重要变量，如人口统计，治疗细节，和伤口特征。对静脉性溃疡患者的几项研究表明，消耗基本营养素可以改善伤口愈合。根据压缩类型和压力强度的不同，治疗结果有所不同。虽然很少的数据表明两层治疗可能的好处，最终的比较仍然不确定。需要进一步的临床研究来研究更广泛的饮食因素并评估类似情况下的不同治疗方法。
