Kerr Andrew J, Arrowsmith Martin
Senior Clinical Specialist (National Lead for Compression) and Honorary Tissue Viability Nurse, Eastbourne.
Br J Community Nurs. 2014 Sep;Suppl:S40, S42-6. doi: 10.12968/bjcn.2014.19.Sup9.S40.
Exudate plays a vital role in wound healing by providing the wound with nutrients and creating an essential moist wound healing environment. However, high levels of exudate can become problematic and, in some wounds, increased levels of exudate can then become detrimental to wound healing and the surrounding tissue. This increase in exudate can be influenced by a variety of factors and its cause is not always taken into account within a management plan. This article presents the outcomes of a 10-patient case series selected for treatment with Tegaderm Superabsorber (3M) dressing using an exudate management/dressing selection algorithm. Overall, 9 of the 10 patients showed improvements in wound-related assessment parameters when their treatment was changed to include the superabsorbent dressing. One patient was withdrawn. Previous treatments had not included superabsorbent products. This case series of highly exudating wounds has demonstrated effective clinical outcomes using the Tegaderm Superabsorber dressing and reports the positive progress of wound symptoms and patient factors associated with better management of high levels of exudate.
渗出液在伤口愈合中起着至关重要的作用，它为伤口提供营养，并营造出必要的湿性伤口愈合环境。然而，高渗出液水平可能会引发问题，在某些伤口中，渗出液水平升高会对伤口愈合及周围组织产生不利影响。渗出液的这种增加可能受多种因素影响，而其成因在管理计划中并不总是被考虑在内。本文介绍了一个10例患者的病例系列结果，这些患者使用渗出液管理/敷料选择算法，选用德湿康超强吸收型（3M）敷料进行治疗。总体而言，10例患者中有9例在治疗改为使用超强吸收型敷料后，伤口相关评估参数有所改善。1例患者退出研究。之前的治疗未使用过超强吸收产品。这个高渗出伤口的病例系列证明了使用德湿康超强吸收型敷料具有有效的临床效果，并报告了伤口症状和患者因素的积极进展，这些进展与更好地管理高渗出液有关。
