Torra i Bou J E
Unitat Interdisciplinària de Ferides Cròniques, Consorci Sanitari de Terrassa, Barcelona.
Rev Enferm. 1999 Jul-Aug;22(7-8):531-6.
Varicose ulcers (UV) are a serious health problem which produce tremendous pain for those who suffer from them; furthermore, they consume a large amount of health care system resources. Hydro-cellular dressings provide a moist environment cure option as a local treatment of varicose ulcers.
With the purpose of evaluating the use of an Allevyn non-adhesive hydro-cellular dressing under real clinical conditions, an open, observational multi-centric study was carried out. The study group was composed of outpatient care patients or patients hospitalized due to having varicose vein ulcers or having a mixed etiology with an ankle/arm index less than or equal to 0.8.
24 patients were initially part of this study; two of these abandoned this study group without a justified reason. Of the 22 who finished this study, 16 or 72.7% were women while 6 or 27.3% were men. The mean age in the women patients was 73.07 +/- 9.31 (DS), while among the men patients, the mean age was 67.23 +/- 18.17 (DS). 17 or 77.3% of the ulcers studied were varicose, 1 or 4.5% had a mixed etiology, 1 or 4.5% was due to amputation, and in three cases, the kind of ulcer was not specified. 22 patients finished this study with their lesions healed or in the process of healing; 2 abandoned this study without justification. The patient study group passed from an average initial sore area (IC 95%) or 9.41 or 19.42 cm2 to a final average sore area (IC 95%) of 4.45 or 10.5 cm2 with a mean percent reduction of (IC 95%) 57.22 or 86.22%. In 7 cases or 31.8% of the patients, their lesions healed completely during the course of the study. Inside the group of patients whose lesion did not fully heal during this study, the average initial sore area (IC 95%) was 15.66 +/- 12.75 cm2, a mean of 8.6 or 22.2 cm2 and the medium equaled 9 cm2. The information regarding comfort, absorption quality, ease in application and removal, and its fine results in the presence of pain and in the creation of new lesions once the dressing has been removed as well as the absolute lack of adverse reactions indicates we have discovered an excellent therapeutic option.
静脉曲张性溃疡（UV）是一个严重的健康问题，给患者带来巨大痛苦；此外，它们消耗了大量医疗系统资源。水凝胶敷料作为静脉曲张性溃疡的局部治疗方法，提供了一种湿性环境治愈方案。
为了评估在实际临床条件下使用爱立肤非粘性水凝胶敷料的情况，开展了一项开放性、观察性多中心研究。研究组由门诊患者或因静脉曲张性溃疡或病因混合且踝/臂指数小于或等于0.8而住院的患者组成。
24名患者最初参与本研究；其中两名患者无正当理由退出研究组。在完成本研究的22名患者中，16名（72.7%）为女性，6名（27.3%）为男性。女性患者的平均年龄为73.07±9.31（标准差），男性患者的平均年龄为67.23±18.17（标准差）。所研究的溃疡中，17个（77.3%）为静脉曲张性溃疡，1个（4.5%）病因混合，1个（4.5%）因截肢导致，3例溃疡类型未明确。22名患者完成本研究时，其伤口已愈合或正在愈合；2名患者无正当理由退出。患者研究组最初的平均溃疡面积（95%置信区间）为9.41或19.42平方厘米，最终平均溃疡面积（95%置信区间）为4.45或10.5平方厘米，平均减少百分比（95%置信区间）为57.22或86.22%。7例（31.8%）患者在研究过程中伤口完全愈合。在本研究中伤口未完全愈合的患者组中，最初的平均溃疡面积（95%置信区间）为15.66±12.75平方厘米，平均为8.6或22.2平方厘米，中位数为9平方厘米。关于舒适度、吸收质量、敷用和去除的便利性，以及去除敷料后在缓解疼痛和防止新伤口形成方面的良好效果，以及绝对没有不良反应的信息表明，我们发现了一种极好的治疗选择。
