Thompson Carol B, Wiemken Timothy L, Brown Timothy S
*Division of Dermatology, University of Louisville, Louisville, Kentucky; †Computational Epidemiology Unit, Division of Infectious Diseases, Global Health Research Organization, University of Louisville, Louisville, Kentucky; ‡Micrographic Surgery and Dermatologic Oncology Fellowship, Division of Dermatology, University of Louisville, Louisville, Kentucky.
Dermatol Surg. 2017 Nov;43(11):1379-1384. doi: 10.1097/DSS.0000000000001209.
Wound healing on the legs may be complicated by delayed healing and other postoperative problems. Two potential postoperative wound care regimens for sutured excisions on the legs include a standard pressure dressing and zinc oxide compression dressings. Limited data exist comparing the efficacy of these 2 options.
To compare outcomes of standard postoperative wound care dressing versus postoperative use of a zinc oxide compression dressings for sutured repairs on the legs.
In this retrospective cohort study, healing time and complication rate of 44 patients treated with standard dressing and 36 patients treated with zinc oxide compression dressings were compared.
At 19 days, 91.7% of patients receiving zinc oxide dressing were fully healed, whereas only 65.9% of patients receiving standard wound care were healed. Complications were noted in 6 of the patients receiving standard dressing (13.6%); no complications occurred in the zinc oxide dressing group.
Zinc oxide compression dressings were a practical option for postoperative wound care, with decreased incidence of delayed wound healing, and fewer complications versus standard postoperative wound dressing.
腿部伤口愈合可能会因愈合延迟及其他术后问题而变得复杂。腿部缝合切除术后两种潜在的伤口护理方案包括标准压力敷料和氧化锌加压敷料。比较这两种方案疗效的数据有限。
比较腿部缝合修复术后标准伤口护理敷料与氧化锌加压敷料的使用效果。
在这项回顾性队列研究中，比较了44例接受标准敷料治疗的患者和36例接受氧化锌加压敷料治疗的患者的愈合时间和并发症发生率。
在第19天时，接受氧化锌敷料治疗的患者中有91.7%完全愈合，而接受标准伤口护理的患者中只有65.9%愈合。接受标准敷料治疗的患者中有6例出现并发症（13.6%）；氧化锌敷料组未发生并发症。
氧化锌加压敷料是术后伤口护理的一种实用选择，与标准术后伤口敷料相比，伤口愈合延迟的发生率降低，并发症更少。
