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一项旨在评估 Tegaderm™ Matrix 治疗治疗抵抗性慢性创面的疗效和安全性的非干预性研究。

Non-interventional study to investigate the efficacy and safety of Tegaderm™ Matrix in the treatment of patients with therapy-refractory chronic wounds.

机构信息

Department of Dermatology, Venereology and Allergy, University Clinic of Essen, Germany.

出版信息

J Dtsch Dermatol Ges. 2012 Jun;10(6):412-20. doi: 10.1111/j.1610-0387.2011.07828.x. Epub 2011 Oct 17.

Abstract

BACKGROUND

Despite a variety of therapeutic approaches, many patients with chronic wounds remain refractory to treatment. Products such as Tegaderm™ Matrix were developed especially for such patients to alter the wound environment and reactivate the stagnant wound healing process.

PATIENTS AND METHODS

In this prospective post-authorization observational product study, a total of 314 patients with therapy-refractory chronic wounds of various origins were evaluated. Beside to the wound area reduction and healing rate, the occurrence of adverse events was documented.

RESULTS

On average the wounds were 10 months old. The average wound size was 17.3 cm(2) (median 6.3 cm(2)) at the initial visit. In the course of treatment the wound size decreased to 13.0 cm(2) (median 3.5 cm(2)) and was finally reduced to 9.3 cm(2) (median 0.9 cm(2)) at end of the study. Taking the criteria of the European Wound Management Association for improving the quality of clinical studies into consideration, a wound size reduction of at least 50% is the parameter for successful treatment of chronic wounds. This study demonstrated a wound size reduction of at least 50% for 72.9% of the patients with therapy-refractory chronic wounds when treated with Tegaderm™ Matrix. The safety profile was evaluated; only 4.7% of the patients experienced a treatment-related adverse event such as a burning sensation.

CONCLUSIONS

The results of the study demonstrate that Tegaderm™ Matrix along with treatment of underlying causes is a well tolerated wound dressing promoting wound size reduction up to healing for the majority of patients with previously therapy-refractory chronic wounds.

摘要

背景

尽管有多种治疗方法,但许多慢性伤口患者仍然对治疗无反应。Tegaderm™ Matrix 等产品是专门为这些患者开发的,旨在改变伤口环境并重新激活停滞的伤口愈合过程。

患者和方法

在这项前瞻性授权后观察性产品研究中,共评估了 314 名患有各种来源的治疗抵抗性慢性伤口的患者。除了伤口面积缩小和愈合率外,还记录了不良事件的发生情况。

结果

平均而言,伤口有 10 个月的历史。在初次就诊时,平均伤口面积为 17.3cm²(中位数 6.3cm²)。在治疗过程中,伤口面积缩小至 13.0cm²(中位数 3.5cm²),在研究结束时最终缩小至 9.3cm²(中位数 0.9cm²)。考虑到欧洲伤口管理协会改善临床研究质量的标准,慢性伤口成功治疗的参数是伤口面积缩小至少 50%。本研究表明,当使用 Tegaderm™ Matrix 治疗治疗抵抗性慢性伤口时,72.9%的患者伤口面积缩小至少 50%。评估了安全性概况;只有 4.7%的患者经历了与治疗相关的不良事件,如烧灼感。

结论

研究结果表明,Tegaderm™ Matrix 联合治疗潜在病因是一种耐受良好的伤口敷料,可促进大多数先前治疗抵抗性慢性伤口的患者的伤口面积缩小直至愈合。

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