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["Auriga - 04"研究:初级医疗保健专业人员使用一系列爱立敷水胶体敷料治疗褥疮和腿部溃疡]

["Auriga-04" study on the use of a range of Allevyn hydro-cellular dressings in the treatment of bed sores and leg ulcers by primary health care professionals].

作者信息

Verdú Soriano José, Nolasco Bonmatí Andreu, López Casanova Pablo, Torra i Bou Joan-Enric

机构信息

Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Universidad de Alicante.

出版信息

Rev Enferm. 2006 Apr;29(4):43-9.

Abstract

The objective of this study was to analyze the application and usefulness of a range of Allevyn trademark hydro-cellular dressings during cicatrisation and in the control of exudation and other various characteristics of chronic lesions in real clinical conditions where patients were treated by primary health care professionals. In this study, 441 patients having chronic wounds, either bed sores or leg ulcers, were studied, health care professionals applied a planned program of measures repeated during 20 dressing changes or until cicatrisation was completed if this happened during this interval. The sample population was comprised of elderly patients, the majority of whom were women whose general health could be classified from medium to poor. These patients suffered from these types of wounds: 63% had bed sores, 27.2% had varicose ulcers and 9.8% had leg ulcers caused by another etiology such as mixed ulcers, arterial ulcers or diabetic foot. On average, these lesions were characterized by an evolutionary period of 6.1 months and had a 30.43 square centimetre surface area at the start of the study. 126 lesions, or 28.8%, cicatrized on average of 47.3 days. Among the 315 lesions which had not cicatrized by the end of 20 dressing changes, 90.5% showed evidence of improvement. During the study these lesions showed a significant reduction in their surface area, as well as a significant improvement at the edges of these lesions and the peri-ulceral skin. The health personnel which carried out the treatment using these dressings gave a very favorable evaluation for their use. At the end of this study, in comparison with other dressings previous used, this study showed that in 43.43% of the cases an Allevyn dressing was deemed better in terms of ease in application, in 51.79% of the cases an Allevyn dressing was better in terms of absorption and in 43.23% of the cases an Allevyn dressing was better during removal.

摘要

本研究的目的是分析一系列爱立敷(Allevyn)水胶体敷料在愈合过程中以及在控制渗出和慢性伤口其他各种特征方面的应用及效用,这些研究是在初级医疗保健专业人员治疗患者的实际临床条件下进行的。在本研究中,对441例患有慢性伤口(褥疮或腿部溃疡)的患者进行了研究,医护人员实施了一个有计划的措施方案,在20次换药过程中重复进行这些措施,或者如果在此期间伤口愈合则直至愈合完成。样本人群包括老年患者,其中大多数为女性,其总体健康状况从中等至较差。这些患者患有以下类型的伤口:63%患有褥疮,27.2%患有静脉曲张性溃疡,9.8%患有由其他病因引起的腿部溃疡,如混合性溃疡、动脉性溃疡或糖尿病足。平均而言,这些伤口的特征是病程为6.1个月,在研究开始时表面积为30.43平方厘米。126处伤口(即28.8%)平均在47.3天内愈合。在20次换药结束时仍未愈合的315处伤口中,90.5%有改善迹象。在研究期间,这些伤口的表面积显著减小,伤口边缘及溃疡周围皮肤也有显著改善。使用这些敷料进行治疗的医护人员对其使用给予了非常积极的评价。在本研究结束时,与之前使用的其他敷料相比,本研究表明,在43.43%的病例中,爱立敷敷料在应用便利性方面被认为更好;在51.79%的病例中,爱立敷敷料在吸收性方面更好;在43.2%的病例中,爱立敷敷料在去除过程中表现更好。

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