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比较几种敷料对标准化擦伤愈合效果的影响。

Comparison of the effects of selected dressings on the healing of standardized abrasions.

机构信息

Athletic Training Department, Indiana State University, Terre Haute, IN 47809.

出版信息

J Athl Train. 1998 Apr;33(2):145-9.

Abstract

OBJECTIVE

To find out which type of dressing (semipermeable film, hydrocolloid, conventional method, or no dressing) allowed abrasions to heal in the least amount of time and had the greatest decrease in wound area.

DESIGN AND SETTING

A 4 x 9 factorial was used for this study. There were two independent variables with four levels and two dependent variables. Research was performed at the Athletic Training Research Laboratory at Indiana State University.

SUBJECTS

Fourteen subjects (eight males, six females), ages 23 to 34 years, participated in this study.

MEASUREMENTS

From daily photographs, the day the wounds were healed was determined. The photographs were also used to measure wound area on the first and last days of the study. Subjects received four treatments (dressings and control), and placement of the dressings was determined by random assignment.

RESULTS

Data were analyzed using a repeated-measures multivariate analysis of variance to determine if differences existed among treatment groups for healing time and change in area. Student-Newman-Keuls post hoc testing was performed to determine specifically where the differences occurred. Our results indicate that healing time is affected by covering the wound, and area is decreased by using DuoDerm or Bioclusive.

CONCLUSIONS

Bioclusive should be used in the athletic training setting. Bioclusive and DuoDerm are equally effective, but Bioclusive is less expensive. Bioclusive is more expensive than Coverlet, but it is also more effective in reducing the area of the wound.

摘要

目的

找出哪种类型的敷料(半透膜、水胶体、常规方法或不包扎)能使擦伤最快愈合,伤口面积减少最多。

设计和设置

本研究采用 4 x 9 析因设计。有两个独立变量和四个水平,两个依赖变量。研究在印第安纳州立大学的运动训练研究实验室进行。

受试者

十四名受试者(八男六女),年龄 23 至 34 岁,参加了这项研究。

测量

从每天的照片中,确定伤口愈合的日期。照片也用于测量研究第一天和最后一天的伤口面积。受试者接受了四种治疗(敷料和对照),并通过随机分配确定了敷料的放置。

结果

使用重复测量多元方差分析来分析数据,以确定治疗组之间在愈合时间和面积变化方面是否存在差异。进行了 Student-Newman-Keuls 事后检验,以确定具体差异发生在哪里。我们的结果表明,覆盖伤口会影响愈合时间,使用 DuoDerm 或 Bioclusive 会减少面积。

结论

Bioclusive 应该在运动训练环境中使用。Bioclusive 和 DuoDerm 同样有效,但 Bioclusive 更便宜。Bioclusive 比 Coverlet 贵,但在减少伤口面积方面更有效。

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