Hormbrey E, Pandya A, Giele H
Department of Plastic Surgery, Radcliffe Infirmary, Oxford, UK.
Br J Plast Surg. 2003 Jul;56(5):498-503. doi: 10.1016/s0007-1226(03)00195-4.
Painful split-skin-graft donor sites remain a common problem for patients. We undertook a prospective randomised trial to examine the comparative comfort and ease of care of two different donor-site dressings. One dressing is the alginate Kaltostat, the standard plastic-surgical dressing in the UK and abroad, and the other is the adhesive retention tape Mefix, a novel use of a readily available dressing. We randomised 50 patients requiring split-skin grafts to receive either alginate (Kaltostat) or retention (Mefix) donor-site dressings. Dressings were assessed by interview and questionnaire at 24, 72 h and 2 weeks, and by wound review at 2 weeks. Retention dressings were found to be more comfortable, required less nursing intervention and allowed patients easier mobility with a greater range of daily activities, especially washing, without compromising wound healing. We recommend adhesive retention dressings as cost-effective comfortable dressings, which readily conform to any donor site.
对于患者来说，取皮区疼痛仍是一个常见问题。我们进行了一项前瞻性随机试验，以比较两种不同供皮区敷料的舒适度和护理便利性。一种敷料是藻酸盐敷料Kaltostat，它是英国国内外整形手术的标准敷料；另一种是粘性固定胶带Mefix，这是一种对现有敷料的新应用。我们将50名需要接受植皮手术的患者随机分为两组，分别使用藻酸盐（Kaltostat）或固定（Mefix）供皮区敷料。在术后24小时、72小时和2周时，通过访谈和问卷对敷料进行评估，并在2周时对伤口进行检查。结果发现，固定敷料更舒适，所需的护理干预更少，患者在进行更多日常活动（尤其是洗澡）时活动更轻松，且不影响伤口愈合。我们推荐粘性固定敷料，因为它经济实惠且舒适，能很好地贴合任何供皮区。
