2024 Vol. 40, No. 9

Guideline and Consensus
Expert consensus on enteral nutrition care for adult patients with severe burns (2024 edition)
2024, 40(9): 801-811. doi: 10.3760/cma.j.cn501225-20240229-00078
Abstract:
Enteral nutrition is one of the main nutritional treatments for patients with severe burns. In order to promote standardized, safe, and effective implementation of enteral nutrition care by clinical nurses, the consensus writing group conducted literature retrieval, quality evaluation, evidence synt...
Expert Forum
Exploration on the techniques and strategies for repair and reconstruction of destructive wounds
Hu Dahai, Zhang Yue
2024, 40(9): 812-817. doi: 10.3760/cma.j.cn501225-20240807-00296
Abstract:
The tissue damage of destructive wounds is severe, and its repair and reconstruction are complex and difficult, making it difficult to achieve the desired goal of the treatment outcomes of function and appearance. In recent years, the repair and reconstruction of destructive wounds have received wid...
Original Articles·Mangled Wounds
Strategies and clinical effects of free tissue flaps in repairing massive destructive burn wounds
Zhang Wei, Zhang Weidong, Chen Lan, Xie Weiguo, Yang Fei, Xu Junhui, Liu Feng
2024, 40(9): 818-827. doi: 10.3760/cma.j.cn501225-20240609-00218
Abstract:
Objective To investigate the strategies and clinical effects of free tissue flaps in repairing massive destructive burn wounds. Methods This study was a retrospective observational study. From June 2014 to October 2023, 51 burn patients with 53 massive destructive burn wounds which met the inclusion...
Tissue flap repair strategy for scalp defects with exposed skull wounds
Li Gang, Zhang Zhi, Sun Jing'en, Lin Weihua, Li Xiaojian
2024, 40(9): 828-834. doi: 10.3760/cma.j.cn501225-20240515-00176
Abstract:
Objective To investigate the strategy of using tissue flaps for repairing scalp defects with exposed skull wounds. Methods This study was a retrospective observational study. From January 2019 to December 2023, 18 patients (13 males and 5 females, aged 17-59 years) with different scalp defect combin...
Clinical effects of nerve-carrying peroneal artery perforator flaps in repairing nerve defects in the late stage of wrist electric burns
Zhou Jian, Zheng Yucen, Chen Wei, Chang Shusen, Wei Zairong, Nie Kaiyu, Zhang Fang
2024, 40(9): 835-841. doi: 10.3760/cma.j.cn501225-20240520-00187
Abstract:
Objective To explore the clinical effects of nerve-carrying peroneal artery perforator flaps in repairing nerve defects in the late stage of wrist electric burns. Methods This study was a retrospective observational study. From December 2019 to May 2023, five patients with sensory dysfunction in han...
Effects of anterolateral femoral perforator flaps pedicled with oblique branch of lateral circumflex femoral artery and carrying fascia lata in repairing destructive wounds and rebuilding function of hands or feet
Ge Chengwei, Jiang Guodong, Cheng Junnan, Guo Liping, Che Zhigang, Yuan Song, Ju Jihui
2024, 40(9): 842-848. doi: 10.3760/cma.j.cn501225-20240508-00163
Abstract:
Objective To investigate the effects of anterolateral femoral perforator flaps pedicled with oblique branch of lateral circumflex femoral artery and carrying fascia lata in repairing destructive wounds and rebuilding function of hands or feet. Methods This study was a retrospective observational stu...
Original Article
Role and mechanism of P311 in the differentiation of mouse skin fibroblasts into myofibroblasts
Heng Xue, Li Buying, Gao Shijie, Lu Changjin, Zhang Xiaorong, Hu Xiaohong, Luo Gaoxing, Li Haisheng
2024, 40(9): 849-856. doi: 10.3760/cma.j.cn501225-20231215-00245
Abstract:
Objective To explore the role and mechanism of P311 in the differentiation of mouse skin fibroblasts (Fbs) into myofibroblasts. Methods The study was an experimental research. Six 2-day-old male C57BL/6 mouse were used to extract skin Fbs by enzymatic hydrolysis method and routinely cultured. The 1s...
Analysis of risk factors for atrial fibrillation in adult patients with critically severe burns after the first surgery
Jiang Nanhong, Xie Weiguo, Wang Deyun, Chu Zhigang, Xi Maomao, Zhou Jinxiu, Li Feng
2024, 40(9): 857-865. doi: 10.3760/cma.j.cn501225-20240329-00111
Abstract:
Objective To explore the risk factors for atrial fibrillation in adult patients with critically severe burns after the first surgery. Methods This study was a retrospective case series study. From January 1, 2018 to March 31, 2023, 211 adult patients with critically severe burns were admitted to the...
Effects and mechanisms of zinc ion-loaded composite hydrogel on infected full-thickness skin defect wounds in diabetic mice
Pan Zeping, Shi Yunlong, Yuan Zhiqiang, Peng Yizhi, An Zhonglian, Le Shuai, Gong Yali
2024, 40(9): 866-875. doi: 10.3760/cma.j.cn501225-20231120-00200
Abstract:
Objective To investigate the effects and mechanisms of zinc ion-loaded composite hydrogel (hereinafter referred to as the zinc-containing hydrogel) on infected full-thickness skin defect wounds in diabetic mice. Methods This study was an experimental study. A poly (glycerol sebacate)-co-poly(ethylen...
Original Article·Nursing Column
Application effects of scenario simulation combined with checklist-based teaching in clinical decision-making ability training of nursing interns in burn department
Luo Wei, Luo Jia, Huang Yuqun, Chen Yu, Li Ning
2024, 40(9): 876-884. doi: 10.3760/cma.j.cn501225-20240425-00152
Abstract:
Objective To explore the application effects of scenario simulation combined with checklist-based teaching in clinical decision-making ability training of nursing interns in burn department. Methods This study was a randomized controlled study. A total of 53 nursing interns who met the inclusion cri...
Review
Research advances on the application of negative pressure wound therapy in free flap transplantation surgery
Deng Yaping, Deng Chengliang
2024, 40(9): 885-890. doi: 10.3760/cma.j.cn501225-20231106-00181
Abstract:
Negative pressure wound therapy (NPWT) is a therapy that utilizes continuous vacuum negative pressure to manage wounds, and it is commonly employed in treating various wounds. The local application of NPWT technology is helpful in removing wound exudate, decreasing bacterial infection, and stimulati...
Research advance on the effects of surface interface topographies and physicochemical properties of biomaterial on macrophages and their application in wound healing
Zhang Wei, Shao Jiaming, Yang Min, Liu Huan, Han Chunmao, Wang Xingang
2024, 40(9): 891-896. doi: 10.3760/cma.j.cn501225-20231110-00190
Abstract:
The human immune system plays a key role in maintaining tissue homeostasis and disease progression. The development of biomaterials that can regulate the innate immune system and adapt to the immune system has great application prospects in the field of tissue engineering. This paper discusses how t...
Burn Treatment in Africa
Interpretation of 2022 edition of Ethiopia "Evidence-based practical guideline for procedural pain management and sedation for burn pediatrics patients undergoing wound care procedures"
Liu Lili, Ding Yaping, Xia Shanshan, Zhang Chenmei
2024, 40(9): 897-900. doi: 10.3760/cma.j.cn501225-20240216-00060
Abstract:
Children are at high risk for burns, and severe burns can lead to the destruction of their skin's physiological structure, causing excruciating pain. Burned children are highly prone to adverse emotions such as anxiety and panic, which can impact the outcome of their treatment and rehabilitation. Th...