Operating room, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
The Center for Biomedical Research, NHC Key Laboratory of Respiratory Diseases, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Nurs Open. 2023 Sep;10(9):5857-5867. doi: 10.1002/nop2.1867. Epub 2023 Jun 29.
To investigate the effectiveness of different dressings on pressure injuries and screen the dressings for efficacy.
Systematic review and network meta-analysis.
Articles published from several electronic databases and other resources were selected. Two reviewers independently selected studies, extracted data and assessed the quality of selected studies.
Twenty-five studies that contained data on moist dressings (hydrocolloidal dressing, foam dressing, silver ion dressing, biological wound dressing, hydrogel dressing, polymeric membrane dressing) and sterile gauze dressings (traditional gauze dressings) were included. All RCTs were at a medium to high risk of bias. Moist dressings were found to be more advantageous than the traditional dressings. Hydrocolloid dressings [RR = 1.38, 95% CI (1.18, 1.60)] showed a higher cure rate than sterile gauze dressing and foam dressings [RR = 1.37, 95% CI (1.16, 1.61)]. Silver ion dressings [RR = l.37, 95% CI (1.08, 1. 73)] showed a higher cure rate than sterile gauze dressings. Sterile gauze dressing dressings [RR = 0.51, 95% CI (0.44, 0.78)] showed a lower cure rate compared with polymeric membrane dressings; whereas Sterile gauze dressing dressings [RR = 0.80, 95% CI (0.47, 1.37)] had a lower cure rate compared to biological wound dressings. Foam and hydrocolloid dressings were associated with the least healing time. Few dressing changes were required for moist dressings.
研究不同敷料治疗压疮的效果，筛选有效敷料。
系统评价和网状 Meta 分析。
从多个电子数据库和其他资源中选择文献。由 2 位评审员独立选择研究、提取数据并评估所选研究的质量。
纳入 25 项研究，包含湿性敷料（水胶体敷料、泡沫敷料、银离子敷料、生物创面敷料、水凝胶敷料、聚合膜敷料）和无菌纱布敷料（传统纱布敷料）的数据。所有 RCT 均存在中至高偏倚风险。湿性敷料优于传统敷料。水胶体敷料[RR=1.38，95%CI（1.18，1.60）]比无菌纱布敷料和泡沫敷料[RR=1.37，95%CI（1.16，1.61）]的治愈率更高。银离子敷料[RR=1.37，95%CI（1.08，1.73）]比无菌纱布敷料的治愈率更高。与聚合膜敷料相比，无菌纱布敷料[RR=0.51，95%CI（0.44，0.78）]的治愈率更低；而与生物创面敷料相比，无菌纱布敷料[RR=0.80，95%CI（0.47，1.37）]的治愈率更低。泡沫敷料和水胶体敷料的愈合时间最短。湿性敷料更换次数较少。
