日常实践中Cuticell Contact硅酮伤口接触层的多中心临床评估。

Suess-Burghart Anja, Zomer Karin, Schwanke Dorte

Nurse Lead, Day Clinic/Wound Centre, Municipal Hospital, Munich Schwabing, Germany.

Tissue Viability Nurse, Scheper Hospital, Emmen, Netherlands.

Br J Community Nurs. 2015 Jun;Suppl Community Wound Care:S35-6, S38-41. doi: 10.12968/bjcn.2015.20.Sup6.S35.

OBJECTIVE

To evaluate clinically the performance of Cuticell Contact, a silicone-based primary contact wound dressing.

BACKGROUND

Primary contact dressings that allow removal of exudate while protecting the wound bed during dressing changes are a key tool in wound management. Silicone dressings are of particular interest owing to their excellent conformability, pain-free dressing changes, and low toxicity. Cuticell Contact is a silicone-based wound dressing thought to provide these desirable benefits.

METHOD

In this evaluation, 38 patients with 40 wounds of a variety of aetiologies and anatomical locations managed with Cuticell Contact and secondary dressings were observed in 8 centres across Germany and the Netherlands. The observation period ranged from 2-42 days (mean 21 days, median 18 days). At the end of the observation, Cuticell Contact was evaluated for permeability to exudate, nonadherence to the wound bed, pain at dressing change, and overall performance. The condition of the wound bed, wound surface area, and levels of exudate were recorded at baseline, at each dressing change, and at the end of the evaluation, along with the condition of the wound edge and peri-wound skin.

RESULTS

Wounds managed with Cuticell Contact showed improvement in the wound bed as evidenced by an increase in wounds with complete granulation from 12.5% (n=40) to 26.5% (n=34), and wounds with partial or complete epithelialisation from 35% to 82.4%. Cuticell Contact was assessed at the end of the evaluation as nonadherent to the wound in 91.2% of cases (n=34), and 93.3% of dressing changes (n=104) were deemed pain free. Wound surface area decreased by a mean of 19.9%. Cuticell Contact was rated satisfactory for permeability to wound exudate in 82.4% of responses and overall satisfaction with the dressing performance was also 82.4%.

CONCLUSION

Cuticell Contact is a soft silicone dressing that is easy to use, efficacious in supporting wound healing through protecting the wound bed, and facilitates atraumatic dressing changes.

目的

临床评估硅胶基一次性接触伤口敷料Cuticell Contact的性能。

背景

一次性接触敷料在伤口换药时能够排出渗出液并保护伤口床，是伤口处理的关键工具。硅胶敷料因其出色的贴合性、无痛换药及低毒性而备受关注。Cuticell Contact是一种硅胶基伤口敷料，被认为具有这些理想的优点。

方法

在本次评估中，德国和荷兰的8个中心对38例患有40处各种病因和解剖部位伤口的患者使用Cuticell Contact及二级敷料进行治疗并观察。观察期为2至42天（平均21天，中位数18天）。观察结束时，对Cuticell Contact的渗出液渗透性、与伤口床的不粘连性、换药时的疼痛程度及总体性能进行评估。记录伤口床状况、伤口表面积、渗出液水平，记录基线、每次换药时及评估结束时的情况，同时记录伤口边缘及伤口周围皮肤的状况。

结果

使用Cuticell Contact处理的伤口，伤口床状况有所改善，完全肉芽形成的伤口从12.5%（n = 40）增加到26.5%（n = 34），部分或完全上皮化的伤口从35%增加到82.4%，证明了这一点。评估结束时，91.2%的病例（n = 34）中Cuticell Contact被评估为与伤口不粘连，93.3%的换药（n = 104）被认为无痛。伤口表面积平均减少19.9%。82.4%的反馈中Cuticell Contact对伤口渗出液的渗透性被评为满意，对敷料性能的总体满意度也为82.4%。