Zarghooni Kourosh, Bredow Jan, Siewe Jan, Deutloff Nicole, Meyer Heiko Stefan, Lohmann Christoph
Acta Orthop Belg. 2015 Dec;81(4):768-75.
This prospective, open, non-controlled clinical investigation evaluated the performance of a modern post-operative wound dressing versus conventional dressings used on wounds of patients after undergoing hip or knee replacement.
The clinical investigation started with a two-week observation phase of conventional wound dressings, followed by an intervention phase where patients were treated with Mepilex® Border Post-Op dressings. The primary objective was to evaluate the occurrence of blisters.
There was no blistering in any of the patients in the Mepilex group (n = 49), whereas blistering occurred in 27.3% (n = 3) of patients in the conventional group (n = 11, p < 0.01). The Mepilex dressing was left on for seven days in 70% of patients. There was a significant reduction in the total cost for dressing changes with the Mepilex dressings (p = 0.006).
By using Mepilex dressings, the risk of blistering was negated and the reduced frequency of dressing changes was associated with the reduced overall cost. Therefore, we recommend the use of Mepilex Border Post-Op dressings.
本前瞻性、开放性、非对照临床研究评估了一种现代术后伤口敷料与髋关节或膝关节置换术后患者伤口使用的传统敷料的性能。
临床研究始于为期两周的传统伤口敷料观察期，随后进入干预期，在此期间患者使用美皮康®术后创可贴敷料进行治疗。主要目的是评估水泡的发生情况。
美皮康组的所有患者（n = 49）均未出现水泡，而传统组（n = 11）有27.3%（n = 3）的患者出现水泡（p < 0.01）。70%的患者使用美皮康敷料7天。使用美皮康敷料换药的总成本显著降低（p = 0.006）。
通过使用美皮康敷料，水泡形成的风险得以消除，换药频率降低与总体成本降低相关。因此，我们推荐使用美皮康术后创可贴敷料。
