Borsuk Daniel E, Gallant Michel, Richard Diane, Williams H Bruce
Faculty of Medicine, McGill University, Montreal, Quebec.
Can J Plast Surg. 2007 Spring;15(1):29-31. doi: 10.1177/229255030701500111.
Silver dressings are a proven method for burn treatment. Current challenges associated with burn treatment include pain management and limited hospital resources. A new silver-coated nylon dressing was used at the Montreal Children's Hospital (Montreal, Quebec) to help reduce traumatic dressing changes and cost.
Burn victims in a pediatric patient population were followed over two years. Patients were excluded if they were evaluated more than 48 h postburn or if the burn affected less than 5% of the total body surface area. The same burn team admitted and treated all case subjects, and one dressing nurse recorded and monitored all progress throughout the study to ensure standardization.
Fifteen patients were included in the study. The average number of dressing changes needed was 4.13, with a median of three changes. The average total body surface area burned was 8%, with a mean of 13.9 days before superficial wounds were re-epithelialized. The average length of in-hospital stay was four days. The cost was $388 less for silver-coated nylon dressings than for silver sulfadiazine cream for seven days of treatment. Silver-coated nylon dressings did not leave any residue or pseudoeschar on the wounds and were easily maintained at home.
The silver-coated nylon dressings are as effective as other silver dressings used for pediatric burn victims. The dressings are less traumatic, require fewer resources and do not leave wound residue compared with other dressings.
银敷料是一种经证实的烧伤治疗方法。当前烧伤治疗面临的挑战包括疼痛管理和医院资源有限。蒙特利尔儿童医院（魁北克省蒙特利尔）使用了一种新型的镀银尼龙敷料，以帮助减少换药时的创伤并降低成本。
对儿科患者群体中的烧伤受害者进行了为期两年的跟踪研究。如果患者在烧伤后超过48小时接受评估，或者烧伤面积小于全身表面积的5%，则将其排除。由同一烧伤治疗团队收治并治疗所有病例，一名换药护士在整个研究过程中记录并监测所有进展情况，以确保标准化。
15名患者纳入研究。所需换药的平均次数为4.13次，中位数为3次。烧伤的平均全身表面积为8%，浅表伤口重新上皮化前的平均天数为13.9天。平均住院时间为4天。镀银尼龙敷料治疗7天的费用比磺胺嘧啶银乳膏少388美元。镀银尼龙敷料不会在伤口上留下任何残留物或假痂，并且在家中易于护理。
镀银尼龙敷料与用于儿科烧伤受害者的其他银敷料效果相同。与其他敷料相比，这种敷料造成的创伤较小，所需资源较少，且不会在伤口上留下残留物。
