Alm A, Hornmark A M, Fall P A, Linder L, Bergstrand B, Ehrnebo M, Madsen S M, Setterberg G
Stureby Hospital, Enskede, Sweden.
Acta Derm Venereol Suppl (Stockh). 1989;149:1-10.
An occlusive hydrocolloid dressing (Comfeel Ulcus) was compared with a conventional wet saline gauze dressing regarding the effect on ulcer cleansing and healing processes, experience of pain and the consumption of nursing time, in a controlled, randomized and partially single-blind study with parallel groups of long-stay patients with pressure sores. After a few weeks' treatment the relative decrease in ulcer areas with time was larger in the group treated with the hydrocolloid dressing. The difference was almost statistically significant at week 5 (p = 0.054) and definite at week 6 (p = 0.006). At week 6 the median remaining ulcer area in per cent of the initial area was 0% in the hydrocolloid dressing group and 31% in the group treated with saline gauze (p = 0.016). Analysis of the healing distribution function showed the hydrocolloid dressing to be more effective, although the overall difference was non-significant (p = 0.15). Care of the pressure sore took significantly less time with hydrocolloid dressings.
在一项针对长期住院压疮患者的平行组对照、随机且部分单盲研究中，比较了一种封闭性水胶体敷料（康惠尔溃疡贴）与传统湿盐水纱布敷料在溃疡清洁和愈合过程、疼痛体验以及护理时间消耗方面的效果。经过几周治疗后，使用水胶体敷料治疗的组中溃疡面积随时间的相对减少幅度更大。在第5周时差异几乎具有统计学意义（p = 0.054），在第6周时差异确定（p = 0.006）。在第6周时，水胶体敷料组溃疡剩余面积占初始面积的中位数百分比为0%，而盐水纱布治疗组为31%（p = 0.016）。愈合分布函数分析表明水胶体敷料更有效，尽管总体差异不显著（p = 0.15）。使用水胶体敷料护理压疮所需时间显著减少。
