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二氧化碳激光手术治疗化脓性汗腺炎后患者单次使用负压伤口治疗与标准护理的比较。

Single use negative-pressure wound therapy compared to standard care in patients after carbon dioxide laser surgery for hidradenitis suppurativa.

机构信息

Department of Dermatology, University Hospital of North Norway, Tromsø, Norway.

Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.

出版信息

Dermatol Ther. 2022 Jun;35(6):e15483. doi: 10.1111/dth.15483. Epub 2022 Apr 6.

Abstract

Negative pressure wound therapy is a commonly used treatment modality for surgical wounds healing by secondary intention. In an open, split side study with 12 patients, we compared low negative pressure wound therapy to conventional foam dressing the first postoperative week after carbon dioxide laser vaporization of hidradenitis suppurativa lesions. The primary outcome was time to complete wound healing, comparing the two intervention sites. Secondary endpoints included perception of pain during intervention period and patient registered impact of the regimes on daily life activities. Low negative pressure wound therapy the first postoperative week tended to reduce the time to complete wound healing. Patients reported significant lower pain levels from wounds treated with a negative pressure wound device the first postoperative week. Eleven out of 12 study participants had a preference to the negative pressure wound therapy regime to a conventional regime with foam dressings.

摘要

负压伤口疗法是一种常用于二期愈合的外科伤口治疗方法。在一项 12 例患者的开放性、随机分组研究中,我们比较了二氧化碳激光汽化汗腺炎皮损后第一周时,低负压伤口疗法与传统泡沫敷料的疗效。主要结局是比较两种干预部位的伤口完全愈合时间。次要终点包括干预期间疼痛的感知以及患者对治疗方案对日常生活活动的影响的记录。术后第一周,低负压伤口疗法有助于减少伤口完全愈合的时间。患者报告说,在术后第一周使用负压伤口装置治疗的伤口疼痛程度显著降低。12 例研究参与者中有 11 例更倾向于使用负压伤口疗法,而不是传统的泡沫敷料治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d68/9285713/ccd1253f645a/DTH-35-0-g001.jpg

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