FACS Department of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.
Int Wound J. 2012 Aug;9(4):451-5. doi: 10.1111/j.1742-481X.2011.00911.x. Epub 2012 Jan 20.
Reducing pain caused by the removal of adhesive wound dressing materials is very important in clinical practice and is also one of the factors to consider when choosing dressing materials. A visual analogue scale is the most popular method for assessing pain, but it is subjective and is difficult to evaluate quantitatively or statistically. Recently, a new method for the quantitative measurement of pain intensity using a painless electrical stimulation system, PainVision™, has been developed. In this study, we evaluated pain intensity during the removal of wound dressing materials in healthy volunteers by comparing pain during the removal of wound dressing materials, which use acrylic pressure-sensitive adhesive and pain during the removal of materials, which use soft silicone adhesive, as evaluated using the PainVision™ system. Pain intensity was significantly lower with the dressing materials, which use soft silicone adhesive when measured with the PainVision™ system. The PainVision™ system promises to be useful for the quantitative assessment of pain caused by the removal of adhesive wound dressing materials. Further studies are needed to determine whether the PainVision™ system is also effective in measuring pain caused by the removal of wound dressing materials in actual wounds.
减轻粘性伤口敷料去除引起的疼痛在临床实践中非常重要，也是选择敷料时需要考虑的因素之一。视觉模拟评分法是评估疼痛最常用的方法，但它具有主观性，难以进行定量或统计学评估。最近，一种使用无痛电刺激系统（PainVision™）定量测量疼痛强度的新方法已经开发出来。在这项研究中，我们通过比较使用丙烯酸压敏胶的伤口敷料去除时的疼痛和使用柔软硅酮胶的伤口敷料去除时的疼痛，使用 PainVision™ 系统评估了健康志愿者去除伤口敷料时的疼痛强度。使用 PainVision™ 系统测量时，使用柔软硅酮胶的敷料材料的疼痛强度明显更低。PainVision™ 系统有望用于评估粘性伤口敷料去除引起的疼痛的定量评估。需要进一步的研究来确定 PainVision™ 系统是否也能有效测量实际伤口中去除伤口敷料引起的疼痛。
