Murphy Faye, Amblum Jeshi
Bognor Regis War Memorial Hospital, Sussex Community NHS Trust.
Emerg Nurse. 2014 May;22(2):24-7. doi: 10.7748/en2014.04.22.2.24.e1300.
This article presents findings from a systematic literature review of whether blisters arising from minor burns should be de-roofed or left intact. It discusses the risks of infection, healing outcomes, discomfort, choice of dressings and costs associated with each method, and reveals that debriding blisters larger than the patient's little fingernail while leaving smaller ones intact is generally agreed to be the best option. The article also explains external factors that influence the choice of whether to debride or leave blisters intact, reviews policy at the trust where one of the authors works in the context of the research and makes recommendations for practice.
本文介绍了一项关于轻度烧伤引起的水泡应挑破还是保持完整的系统文献综述的研究结果。它讨论了感染风险、愈合效果、不适程度、敷料选择以及每种方法的成本，并表明，对于大于患者小指甲的水泡进行清创，而较小的水泡保持完整，通常被认为是最佳选择。文章还解释了影响选择是否清创或保持水泡完整的外部因素，回顾了其中一位作者所在信托机构在该研究背景下的政策，并提出了实践建议。
