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比较沙棘与磺胺嘧啶银敷料对二度烧伤患者伤口愈合时间的影响:一项随机三盲临床试验。

To compare the effect of sea buckthorn and silver sulfadiazine dressing on period of wound healing in patients with second-degree burns: A randomized triple-blind clinical trial.

作者信息

Abdullahzadeh Mehrdad, Shafiee Saeed

机构信息

Department of Nursing and Midwifery, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.

Department of Medical-Surgical Nursing, Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Wound Repair Regen. 2021 Sep;29(5):732-740. doi: 10.1111/wrr.12916. Epub 2021 Apr 1.

DOI:10.1111/wrr.12916
PMID:33792111
Abstract

Burn injuries can be associated with the incidence of disability and death, yet their management remains a costly difficult problem. We conducted this clinical trial to evaluate the period of wound healing with sea buckthorn dressings for the second-degree burns and compare the results with 1% silver sulfadiazine (SSD) dressings. This randomized triple-blind clinical trial was conducted in a hospital in Isfahan, Iran. Fifty-five patients suffering second-degree burns were recruited through convenient sampling and randomly divided into two groups and treated with either sea buckthorn cream or 1% SSD. Wound dressings were done until complete wound healing was attained. The process of healing burns was monitored using the Bates-Jensen Wound Assessment Tool; complete healing was determined by using the standard burn healing checklist. It was deduced that the period of healing second-degree burns in the group treated with sea buckthorn cream was shorter than the group treated with 1% SSD (p < 0.001). The results demonstrated the greater clinical efficacy of sea buckthorn cream over 1% SSD for healing second-degree burns. It was concluded that using sea buckthorn dressing by reducing the period of wound healing can shorten the course of treatment of second-degree burns as well as reduce the burden of care in health care services.

摘要

烧伤会导致残疾和死亡,但其治疗仍然是一个成本高昂且困难的问题。我们进行了这项临床试验,以评估沙棘敷料用于治疗二度烧伤的伤口愈合时间,并将结果与1%磺胺嘧啶银(SSD)敷料进行比较。这项随机三盲临床试验在伊朗伊斯法罕的一家医院进行。通过方便抽样招募了55名二度烧伤患者,随机分为两组,分别用沙棘乳膏或1% SSD进行治疗。进行伤口敷料处理,直至伤口完全愈合。使用贝茨-詹森伤口评估工具监测烧伤愈合过程;通过标准烧伤愈合检查表确定完全愈合情况。结果推断,用沙棘乳膏治疗的组二度烧伤愈合时间短于用1% SSD治疗的组(p < 0.001)。结果表明,沙棘乳膏在治疗二度烧伤方面比1% SSD具有更高的临床疗效。得出的结论是,使用沙棘敷料通过缩短伤口愈合时间,可以缩短二度烧伤的治疗疗程,并减轻医疗保健服务中的护理负担。

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