老年急性创伤性创面评估和治疗的专家共识（2025版）

中国老年医学学会烧创伤分会

doi:10.3760/cma.j.cn501225-20250417-00179

老年急性创伤性创面评估和治疗的专家共识（2025版）

doi: 10.3760/cma.j.cn501225-20250417-00179

中国老年医学学会烧创伤分会

基金项目:

上海市急危重症临床医学研究中心 21MC1930400

江西省科技厅重点研发计划重点项目 20171ACG70004

详细信息

通信作者：丁伟,皖南医学院弋矶山医院创面修复外科,芜湖 241000,Email：13956174927@163.com郭光华,南昌大学第一附属医院烧伤整形与创面修复医学中心,南昌 330006,Email：guogh2000@hotmail.com付小兵,解放军总医院医学创新研究部创伤修复与组织再生重点实验室,北京 100853,Email：fuxiaobing@vip.sina.com

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出版历程
- 收稿日期: 2025-04-17

Expert consensus on the assessment and treatment of acute traumatic wounds in the elderly (2025 edition)

Funds:

Shanghai Municipal Clinical Research Center for Emergency and Critical Care 21MC1930400

Key Program for Key Research and Development Program of Science and Technology Department of Jiangxi Province of China 20171ACG70004

摘要

摘要: 由于老年人特殊的生理学改变,其急性创伤性创面的评估和治疗往往需要综合考量。目前,国内外尚缺乏统一的老年急性创伤性创面的评估和治疗方案。为此,中国老年医学学会烧创伤分会组织国内相关领域专家,成立共识编写组,在国内外相关研究基础上,充分结合老年人的病理生理学特点,针对老年急性创伤性创面的评估和治疗方面的临床问题进行了多轮讨论,最终确定了该共识范围和5个临床问题,通过文献检索及证据评价,经过2次共识会综合讨论,最终形成19条推荐意见。该共识可供创伤、烧伤、创面修复等相关专业从业人员在日常临床工作中参考,旨在提高我国老年急性创伤性创面的救治水平。
- 老年人 /
- 创伤和损伤 /
- 治疗 /
- 急性创面 /
- 评估 /
- 专家共识
Abstract: Due to the special physiological changes in the elderly, the assessment and treatment of acute traumatic wounds in the elderly often require comprehensive consideration. Currently, there remains a dearth of unified protocols for the assessment and treatment of acute traumatic wounds in the elderly, both domestically and internationally. To address this gap, the Burns and Trauma Branch of Chinese Geriatrics Society convened a panel of national experts in related fields to form a consensus writing group. Building on relevant domestic and international research, and taking into full consideration the pathophysiological characteristics of the elderly, multiple rounds of discussions were conducted on clinical problems in the assessment and treatment of acute traumatic wounds in the elderly, and the scope of the consensus and five primary clinical questions were finally determined. Following literature retrieval and evidence evaluation, 19 recommendations were formulated after comprehensive discussions at two consensus meetings. This consensus serves as a valuable reference for professionals engaged in fields such as trauma, burns, and wound repair during their routine clinical practice, aiming to enhance the treatment level for acute traumatic wounds in the elderly in China.
- Aged /
- Wounds and injuries /
- Therapy /
- Acute wounds /
- Assessment /
- Expert consensus
本共识所有编写组成员声明不存在利益冲突,无轻微或严重利益冲突的成员参与本共识制订工作,无商业组织向本共识编写组支付费用。本共识制订过程中需要的资金均来自本文著录的基金项目,用以承担制订过程中的科研费及项目组织实施等费用,且推荐意见未受资助影响

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图 1 《老年急性创伤性创面评估和治疗的专家共识（2025版）》的推荐意见流程图

注：MESS为肢体损伤严重程度评分

下载: 全尺寸图片幻灯片

Table 1. 基于推荐意见分级的评估、制订和评价系统的推荐强度及证据等级描述

项目与类别	描述
推荐强度
强推荐	强烈推荐临床采用
弱推荐	一般推荐临床采用
证据等级
高	非常确信真实的效应值接近效应估计值
中	对效应估计值有中等程度的信心：即真实值有可能接近估计值,但仍存在二者很不相同的可能性
低	对效应估计值的确信程度有限：真实值可能与估计值大不相同
极低	对效应估计值几乎没有信心：真实值很可能与估计值大不相同