Department of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.
Int Wound J. 2014 Feb;11(1):50-4. doi: 10.1111/j.1742-481X.2012.01061.x. Epub 2012 Aug 7.
In recent years, adhesive wound dressings have been increasingly applied postoperatively because of their ease of use as they can be kept in place without having to cut and apply surgical tapes and they can cover a wound securely. However, if a wound dressing strongly adheres to the wound, a large amount of stratum corneum is removed from the newly formed epithelium or healthy periwound skin. Various types of adhesives are used on adhesive wound dressings and the extent of skin damage depends on how much an adhesive sticks to the wound or skin surface. We quantitatively determined and compared the amount of stratum corneum removed by eight different wound dressings including polyurethane foam using acrylic adhesive, silicone-based adhesive dressing, composite hydrocolloid and self-adhesive polyurethane foam in healthy volunteers. The results showed that wound dressings with silicone adhesive and self-adhesive polyurethane foam removed less stratum corneum, whereas composite hydrocolloid and polyurethane foam using acrylic adhesive removed more stratum corneum.
近年来，由于粘性伤口敷料易于使用，因此在手术后越来越多地被应用，因为它们可以固定在适当的位置，而无需切割和应用手术胶带，并且可以安全地覆盖伤口。然而，如果伤口敷料强烈粘附在伤口上，则会从新形成的上皮或健康的伤口周围皮肤上大量去除角质层。粘性伤口敷料上使用了各种类型的粘合剂，而皮肤损伤的程度取决于粘合剂与伤口或皮肤表面的粘附程度。我们在健康志愿者中定量确定并比较了包括聚氨酯泡沫在内的八种不同伤口敷料（包括使用丙烯酸粘合剂的聚氨酯泡沫）去除的角质层量。结果表明，使用硅酮粘合剂和自粘性聚氨酯泡沫的伤口敷料去除的角质层较少，而复合水胶体和使用丙烯酸粘合剂的聚氨酯泡沫去除的角质层较多。
