Melandri Davide, De Angelis Armando, Orioli Roberto, Ponzielli Giovanni, Lualdi Paolo, Giarratana Nadia, Reiner Valentina
Burn Intensive Care Unit, Bufalini Hospital, Viale Ghirotti 286, I-47023 Cesena, Italy.
Burns. 2006 Dec;32(8):964-72. doi: 10.1016/j.burns.2006.03.013. Epub 2006 Oct 10.
A multi-centre, open, within-patient controlled study was performed on 23 adult burnt patients to investigate the effectiveness, safety and tolerability of Veloderm in comparison with Algisite M and Jaloskin in split-thickness skin graft donor site care. The areas dressed with Veloderm completely healed within 10-13 days in a significant higher proportion than the other two dressings (47.6% for Veloderm versus 26.3% for Algisite M and 10% for Jaloskin, P<0.03), showing during the whole study less incidence of exudates and of peri-lesional erythema. The aesthetic outcome of the treated lesions after healing was significantly better for Veloderm (P=0.0016). Veloderm) and Jaloskin required very few renewals of the medication during the first week of treatment, while Algisite M needed several multiple re-dressings. Veloderm was judged better than the other two treatments as far as the acceptability (P<0.001), ease of use (P<0.001) and efficacy (P<0.00001). Both pain during application or at removal of dressings and local infections were negligible with all treatments. No scars were formed in any skin donor site. In conclusion Veloderm is a safe and effective dressing for the re-epithelialization of the skin graft donor sites: it showed higher activity than the other two compared dressings.
对23名成年烧伤患者进行了一项多中心、开放性、患者自身对照研究,以调查与Algisite M和Jaloskin相比,Veloderm在中厚皮片供皮区护理中的有效性、安全性和耐受性。使用Veloderm包扎的区域在10 - 13天内完全愈合的比例显著高于其他两种敷料(Veloderm为47.6%,Algisite M为26.3%,Jaloskin为10%,P<0.03),在整个研究过程中渗出物和皮损周围红斑的发生率较低。愈合后,Veloderm治疗皮损的美学效果显著更好(P = 0.0016)。在治疗的第一周,Veloderm和Jaloskin所需的换药次数很少,而Algisite M需要多次重新包扎。在可接受性(P<0.001)、易用性(P<0.001)和疗效(P<0.00001)方面,Veloderm被认为优于其他两种治疗方法。所有治疗方法在敷料应用或去除过程中的疼痛以及局部感染都可以忽略不计。任何皮肤供皮区均未形成疤痕。总之,Veloderm是一种用于皮肤移植供皮区再上皮化的安全有效的敷料:它显示出比其他两种对照敷料更高的活性。