Ramesh B A, Jayalakshmi B K, Mohan J
Department of Plastic Surgery, Sri Ramachandra University, Chennai, Tamil Nadu, India.
Department of Anaesthesiology, Government Kilpauk Medical College, Chennai, Tamil Nadu, India.
J Cutan Aesthet Surg. 2017 Jan-Mar;10(1):18-21. doi: 10.4103/JCAS.JCAS_110_16.
Skin graft is one of the commonly done procedures by plastic surgeons, dermato surgeons and general surgeons. Pain at the donor area is a common complaint by the patient. The skin graft donor site area is usually covered with petrolatum dressing dermatosurgeons.
This study was done to compare collagen dressing with petroleum gauze dressing in control of post-operative pain on skin graft donor area.
The study was done on forty patients, twenty as study group who received collagen dressing and twenty as control group who received petroleum gauze dressing. The procedure was randomly selected by permutated block size of four. The post-operative pain was assessed with numerical pain rating scale 0 to 10. Nursing staff did the recording of pain scale. The nursing staff was not aware whether patient had collagen or petroleum gauze dressing.
Statistical analysis used was independent ''-test (two-sample test) and Levene's test.
Statistics proved that study group (collagen dressing) had lesser pain than control group (petroleum gauze dressing).
The collagen sheet dressing on skin graft donor area reduces pain in post-operative period.
皮肤移植是整形外科医生、皮肤科医生和普通外科医生常做的手术之一。供皮区疼痛是患者常见的主诉。皮肤移植供皮区通常由皮肤科医生用凡士林敷料覆盖。
本研究旨在比较胶原蛋白敷料和凡士林纱布敷料对皮肤移植供皮区术后疼痛的控制效果。
本研究对40例患者进行,20例为接受胶原蛋白敷料的研究组,20例为接受凡士林纱布敷料的对照组。手术通过四个排列分组大小随机选择。术后疼痛采用0至10的数字疼痛评分量表进行评估。护理人员记录疼痛量表。护理人员不知道患者使用的是胶原蛋白敷料还是凡士林纱布敷料。
采用的统计分析方法是独立t检验(双样本检验)和Levene检验。
统计学证明研究组(胶原蛋白敷料)的疼痛程度低于对照组(凡士林纱布敷料)。
皮肤移植供皮区使用胶原蛋白片敷料可减轻术后疼痛。