Weller Carolina D, Team Victoria, Sussman Geoffrey
Monash Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia.
Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia.
Front Pharmacol. 2020 Feb 28;11:155. doi: 10.3389/fphar.2020.00155. eCollection 2020.
Wound management is a significant and growing issue worldwide. Knowledge of dressing products and clinical expertise in dressing selection are two major components in holistic wound management to ensure evidence-based wound care. With expanding global market of dressing products, there is need to update clinician knowledge of dressing properties in wound care. Optimal wound management depends on accurate patient assessment, wound diagnosis, clinicians' knowledge of the wound healing process and properties of wound dressings. We conducted a comprehensive review of the physical properties of wound dressing products, including the advantages and disadvantages, indications and contraindications and effectiveness of first-line interactive/bioactive dressing groups commonly used in clinical practice. These include semipermeable films, foams, hydroactives, alginates, hydrofibers, hydrocolloids, and hydrogels. In making decisions regarding dressing product selection, clinicians need to ensure a holistic assessment of patient and wound etiology, and understand dressing properties when making clinical decisions using wound management guidelines to ensure optimal patient outcomes. This review has highlighted there is lack of high quality evidence and the need for future well designed trials.
伤口管理是一个在全球范围内日益重要且不断发展的问题。敷料产品知识以及敷料选择方面的临床专业技能是整体伤口管理中的两个主要组成部分，以确保循证伤口护理。随着全球敷料产品市场的不断扩大，有必要更新临床医生在伤口护理中对敷料特性的认识。最佳的伤口管理取决于准确的患者评估、伤口诊断、临床医生对伤口愈合过程的了解以及伤口敷料的特性。我们对伤口敷料产品的物理特性进行了全面综述，包括临床实践中常用的一线交互式/生物活性敷料组的优缺点、适应证和禁忌证以及有效性。这些敷料包括半透膜、泡沫敷料、水活性敷料、藻酸盐敷料、水纤维敷料、水胶体敷料和水凝胶敷料。在做出关于敷料产品选择的决策时，临床医生需要确保对患者和伤口病因进行全面评估，并在使用伤口管理指南做出临床决策时了解敷料特性，以确保患者获得最佳治疗效果。本综述强调了高质量证据的缺乏以及未来进行精心设计试验的必要性。
