Waffle C, Simon R R, Joslin C
Department of Emergency Medicine, Huron Road Hospital, Cleveland, Ohio.
Burns Incl Therm Inj. 1988 Feb;14(1):66-70. doi: 10.1016/s0305-4179(98)90048-1.
This study compares a moisture-vapour-permeable film (MVPF) with silver sulphadiazine in a randomized prospective manner for the treatment of outpatient burns. The two treatment groups were closely matched in age, sex, per cent of BSA burned, and in burn severity and locations. The MVPF group demonstrated a 39.0 per cent greater reduction in pain after application of the dressing over the silver sulphadiazine group. Patients in the MVPF film group also reported significantly less difficulty in wound care and in dressing interference with their daily functions. The clinical infection rate and time to healing were similar in both groups. In the management of outpatient burns, MVPF was found to be superior to silver sulphadiazine.
本研究以随机前瞻性方式比较了透湿薄膜(MVPF)与磺胺嘧啶银对门诊烧伤患者的治疗效果。两个治疗组在年龄、性别、烧伤体表面积百分比、烧伤严重程度及部位方面均紧密匹配。与磺胺嘧啶银组相比,MVPF组在敷料应用后疼痛减轻程度高39.0%。MVPF薄膜组的患者在伤口护理及敷料对日常功能的干扰方面也报告称困难显著更少。两组的临床感染率及愈合时间相似。在门诊烧伤的处理中,发现MVPF优于磺胺嘧啶银。