Körber A, Weindorf M, Dissemond J
Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen, Hufelandstrasse 55, 45122 Essen, Deutschland.
Hautarzt. 2008 Nov;59(11):904-11. doi: 10.1007/s00105-008-1636-6.
Major components in the conservative treatment of patients with chronic venous leg ulcers are compression therapy and modern wound dressings. Both therapies are used simultaneously. Consequently it is important to know the exudate capacity of modern wound dressings changes during compression therapy. In the first part of our study we analyzed the maximum exudate capacity of 15 modern wound dressings. In the second part we showed that under compression stockings of class 2, a reduction of 44.08% and under compression stockings of class 3, a reduction of 50.49% occurred. In the third part we pointed out that all the investigated wound dressings released absorbed fluid when under compression. Again the effect was higher when using compression class 3 with 40.78% compared to compression class 2 with 40.50%. Our results show for the first time the broad variability of exudate capacity of modern wound dressings. Our results show that compression therapy has a considerable effect on the ability of modern wound dressings to absorb and retain exudate and suggests that more frequent changes may be required.
下肢慢性静脉性溃疡患者保守治疗的主要组成部分是压迫疗法和现代伤口敷料。这两种疗法同时使用。因此,了解现代伤口敷料在压迫疗法期间渗出液吸收能力的变化很重要。在我们研究的第一部分,我们分析了15种现代伤口敷料的最大渗出液吸收能力。在第二部分,我们表明,在2级压力袜作用下,渗出液吸收能力降低了44.08%,在3级压力袜作用下,降低了50.49%。在第三部分,我们指出,所有被研究的伤口敷料在受压时都会释放吸收的液体。同样,与2级压力(释放率为40.50%)相比,使用3级压力时效果更高,释放率为40.78%。我们的结果首次表明现代伤口敷料渗出液吸收能力存在广泛差异。我们的结果表明,压迫疗法对现代伤口敷料吸收和保留渗出液的能力有相当大的影响,并表明可能需要更频繁地更换敷料。