[New concept of chronic wound healing: advances in the research of wound management in palliative care].

With the aggravation of aging of global population and increase of incidence of various chronic diseases and injuries, patients with chronic wounds due to different causes (malnutrition, abnormal metabolism, compression, infection, tumor, etc.) have grown. Especially in some patients at the end of life, chronic wounds have the characteristics of difficult to heal and even unable to heal. There is an urgent need for palliative treatment for such wounds. Palliative treatment of chronic wounds focuses on the management of smell, pain, exudate, bleeding, and infection with the hope to effectively prevent infection, relief pain, improve quality of life, and reduce the economic burden of medical treatment for patients. This paper reviews the related studies of palliative treatment in chronic wounds at home and abroad, and explores the evaluation and management of palliative treatment of different wounds with the aim to provide new management strategies, new materials, and new concept for the treatment of chronic wounds.随着全球人口老龄化程度的加剧及各种慢性病和创伤发生率的升高，由不同原因(营养不良、代谢异常、压迫、感染、肿瘤等)导致的慢性创面患者日渐增多。特别是生命终末期患者的慢性创面具有愈合难度大、甚至无法愈合的特点，对其进行姑息性治疗势在必行。慢性创面的姑息性治疗着重于创面的气味、疼痛、渗出物、出血和感染管理等，以前有效预防感染，缓解患者疼痛，提高患者生命质量，减轻医疗经济负担。本文通过综述国内外姑息性治疗在慢性创面的相关研究，探讨不同创面姑息性治疗的评估和管理，为慢性创面治疗提供新策略、新材料、新理念。.