Zhai Hongbo, Maibach Howard I
Department of Dermatology, University of California, San Francisco, CA; Email:
Wounds. 2007 Oct;19(10):270-6.
The benefits of occlusive and/or semi-occlusive dressings to accelerate epidermal wound healing have been documented in experiments on human and animal models, as well as in clinical settings. Their benefits have been generally accepted. However, reports either from experimental or clinical observations suggest that occlusive dressings may occasionally delay wound healing.
Data presented here were reevaluated from experimental models conducted on controlled wounds.
Although most human studies document that occlusive dressings facilitate epidermal wound healing, sufficient observations suggest that some experiment factors (latex rather than plastic and species) were not investigated in the earlier occlusive dressing observations, mandating the need for clarification. The differences between the earlier and more recent, significantly different, observations may relate to species (largely mouse rather than human), occlusive materials (latex rather than plastic), and type of wound (split-thickness versus stripping).
在人体和动物模型实验以及临床环境中,已证明封闭性和/或半封闭性敷料对加速表皮伤口愈合有益。其益处已被普遍接受。然而,来自实验或临床观察的报告表明,封闭性敷料偶尔可能会延迟伤口愈合。
此处呈现的数据是对在可控伤口上进行的实验模型进行重新评估得出的。
尽管大多数人体研究表明封闭性敷料有助于表皮伤口愈合,但有足够的观察结果表明,早期封闭性敷料观察中未研究某些实验因素(乳胶而非塑料以及物种),因此需要进行澄清。早期和近期明显不同的观察结果之间的差异可能与物种(主要是小鼠而非人类)、封闭材料(乳胶而非塑料)以及伤口类型(分层厚度与剥离)有关。