Goertz O, Abels C, Knie U, May T, Hirsch T, Daigeler A, Steinau H-U, Langer S
Department of Plastic and Hand Surgery, Burn Center, BG University Hospital Bergmannsheil, Ruhr University Bochum, Buerkle-de-la-Camp Platz 1, Bochum, Germany.
Eur Surg Res. 2010;44(2):96-101. doi: 10.1159/000276303. Epub 2010 Jan 19.
An ideal topical formulation for wound therapy does not exist. The aim of this study was to develop a novel improved therapeutic option for the treatment of acute and chronic wounds.
A transparent wound gel which is in a liquid state below and in a gel state at or above room temperature was developed. Forty-four patients were included in this open randomized controlled single-center study. Flammazine served as control in the treatment of skin graft donor sites. Wounds were assessed for time of dressing change and overall satisfaction of patients and health care providers. The data were analyzed using the nonparametric Mann-Whitney test.
The wound gel proved to be superior in comparison with Flammazine with respect to wound assessment (p = 0.002), staining (p = 0.007), leaking (p = 0.032) and smell (p = 0.034). Flammazine showed favorable results regarding the parameters dehydration of the dressings (p = 0.012) and wound adherence (p = 0.005). The evaluation of the overall dressing change process showed no significant differences.
The thermoreversible wound gel containing polyhexanide allows for good handling and wound assessment. This study demonstrated a high satisfaction level of patient and health care providers, and the wound gel proved an effective alternative to commonly used treatments.
目前尚无理想的用于伤口治疗的局部用药制剂。本研究的目的是开发一种新型的、改良的治疗急性和慢性伤口的方法。
研制了一种透明伤口凝胶,其在室温以下呈液态,在室温及以上呈凝胶态。本开放随机对照单中心研究纳入了44例患者。在皮肤移植供区治疗中,使用磺胺嘧啶银乳膏作为对照。对伤口换药时间以及患者和医护人员的总体满意度进行评估。采用非参数曼-惠特尼检验对数据进行分析。
在伤口评估(p = 0.002)、染色(p = 0.007)、渗漏(p = 0.032)和气味(p = 0.034)方面,伤口凝胶被证明优于磺胺嘧啶银乳膏。磺胺嘧啶银乳膏在敷料脱水(p = 0.012)和伤口粘连(p = 0.005)参数方面显示出良好结果。对整个换药过程的评估显示无显著差异。
含聚己双胍的热可逆伤口凝胶便于操作和伤口评估。本研究表明患者和医护人员满意度较高,且伤口凝胶被证明是常用治疗方法的有效替代方案。