Cuomo Roberto, Grimaldi Luca, Brandi Cesare, Nisi Giuseppe, D'Aniello Carlo
University of Siena.
Acta Biomed. 2017 Oct 23;88(3):310-314. doi: 10.23750/abm.v88i3.5736.
The authors want to evaluate the efficacy of fibrillary tabotamp dressing in skin graft-donor site. A comparison was made with Vaseline gauzes. Tabotamp is an absorbable haemostatic product of Ethicon (Johnson and Johnson) obtained by sterile and oxidized regenerated cellulose (Rayon). It is used for mild to moderate bleeding.
276 patients were subject to skin graft and divided into two group: Group A and Group B. The donor site of patients in Group A was medicated with fibrillary tabotamp, while the patients of Group B were medicated only with Vaseline gauze. We recorded infection, timing of healing, number of dressing change, the pain felt during and after the dressing change with visual analog scale (VAS) and a questionnaire.
Patients allocated in Group A healed faster than the Group B. Questionnaires and VAS analysis showed lower pain felt, lower intake of pain drugs and lower infection rate in the Group A than the Group B. Analysis of coast showed lower dressing change in Group A than the Group B.
We believe that the use of tabotamp is a very viable alternative to improve healing.
作者想要评估纤维状塔博坦敷料在皮肤移植供区的疗效。将其与凡士林纱布进行了比较。塔博坦是强生公司旗下Ethicon生产的一种可吸收止血产品，由无菌氧化再生纤维素（人造丝）制成。它用于轻度至中度出血。
276例患者接受了皮肤移植，并分为两组：A组和B组。A组患者的供区使用纤维状塔博坦进行治疗，而B组患者仅使用凡士林纱布进行治疗。我们记录了感染情况、愈合时间、换药次数、使用视觉模拟量表（VAS）和问卷调查记录换药期间及之后的疼痛感受。
A组患者的愈合速度比B组快。问卷调查和VAS分析显示，A组患者的疼痛感受更低、止痛药物摄入量更低、感染率也低于B组。成本分析显示，A组的换药次数比B组少。
我们认为使用塔博坦是促进愈合的一种非常可行的替代方法。
