Sevil Pamuk Cebeci, PhD, is a Nurse, Yunus Emre Public Hospital, Eskisehir, Turkey. Rengin Acaroğlu, Prof Dr, is a Professor, Florence Nightingale Nursing Faculty, Istanbul University Health Sciences Institute, Istanbul, Turkey. The authors have disclosed no financial relationships related to this article. Submitted June 12, 2018; accepted in revised form July 23, 2018; published online ahead of print April 2, 2019.
Adv Skin Wound Care. 2019 Jul;32(7):1-5. doi: 10.1097/01.ASW.0000553598.12820.e7.
This study evaluated the use of silver-containing hydrofiber and chlorhexidine-impregnated tulle gras dressings for second-degree burns.
This randomized clinical study consisted of 60 patients with second-degree burns. Data were collected using a Patient Identification Form, Wound Assessment Form, and Pain Assessment Scale. Following dressing application, wounds were assessed on days 7, 15, and 22. Study procedures were continued until full epithelialization occurred.
After the seventh day of follow-up, significant improvement was noted in the experimental group in terms of wound exudate, wound debridement, pain intensity, and analgesic agent administration. After the 15th day of follow-up, there was a significant decrease in epithelialization time in the experimental group. Exudate control was better in patients whose burns were treated with silver-containing hydrofiber dressings, and they needed less debridement and fewer analgesics because of infrequent dressing changes. Lower pain scores were reported, the burn area reduced more quickly, and faster epithelialization and wound healing were achieved.
The authors conclude that silver-containing hydrofiber dressings are an effective wound care material that improve the wound healing process. More studies comparing it and other wound care materials could improve the quality of healthcare for patients with burns.
本研究评估了含银水凝胶纤维和聚维酮碘浸渍纱布在二度烧伤中的应用。
这是一项随机临床研究,纳入了 60 例二度烧伤患者。使用患者识别表、伤口评估表和疼痛评估量表收集数据。在敷贴后,第 7、15 和 22 天对伤口进行评估。研究程序持续进行,直至完全上皮化。
在随访的第 7 天,实验组在伤口渗出物、伤口清创、疼痛强度和镇痛药使用方面有显著改善。在随访的第 15 天,实验组的上皮化时间明显缩短。与使用聚维酮碘浸渍纱布治疗的患者相比,含银水凝胶纤维敷料组的渗出物控制更好,由于更换敷料的频率较低,因此需要更少的清创和更少的镇痛药。报告的疼痛评分较低,烧伤面积更快地缩小,更快地实现上皮化和伤口愈合。
作者得出结论,含银水凝胶纤维敷料是一种有效的伤口护理材料,可改善伤口愈合过程。比较它和其他伤口护理材料的更多研究可以提高烧伤患者的医疗保健质量。