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一项比较 jubilee 敷料法与标准粘性敷料用于全髋关节和膝关节置换术的前瞻性随机研究。

A prospective randomised study comparing the jubilee dressing method to a standard adhesive dressing for total hip and knee replacements.

机构信息

Department of Orthopaedic Surgery, Cappagh National Orthopaedic Hospital, Dublin, Ireland.

出版信息

J Tissue Viability. 2012 Aug;21(3):84-7. doi: 10.1016/j.jtv.2012.04.002. Epub 2012 Jun 1.

Abstract

AIM OF THE STUDY

It is important to reduce potential wound complications in total hip and total knee arthroplasty procedures. The purpose of this study was to compare the jubilee dressing method to a standard adhesive dressing.

METHOD

124 patients (62 total hip replacements and 62 total knee replacements) were randomly selected to have either a standard adhesive dressing or jubilee method dressing. The number of dressing changes, incidence of blistering, leakage, appearance of inflammation, infection rate and the average stay in hospital was recorded for each patient.

RESULTS

The jubilee dressing significantly reduced the rate of blistering, leakage and number of dressing changes when compare to a traditional adhesive dressing (p < 0.05). The rate of inflammation and average length of stay in hospital was not significantly different between the two groups.

CONCLUSION

The authors recommend the use of this dressing for total hip and total knee arthroplasty procedures due to the associated lower complication rate.

摘要

研究目的

减少全髋关节和全膝关节置换术潜在的伤口并发症非常重要。本研究旨在比较 jubilee 包扎法与标准粘性敷料的效果。

方法

随机选择 124 名患者(62 例全髋关节置换术和 62 例全膝关节置换术),分别采用标准粘性敷料或 jubilee 方法敷料包扎。记录每位患者的敷料更换次数、水疱、渗漏、炎症表现、感染率和平均住院时间。

结果

jubilee 包扎法与传统粘性敷料相比,显著降低了水疱、渗漏和敷料更换次数的发生率(p<0.05)。两组的炎症发生率和平均住院时间无显著差异。

结论

由于 jubilee 包扎法相关并发症发生率较低,作者推荐在全髋关节和全膝关节置换术中使用这种敷料。

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