Department of Nursing, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin, Taiwan.
Department of Nursing, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan.
Medicine (Baltimore). 2023 Sep 15;102(37):e35112. doi: 10.1097/MD.0000000000035112.
Skin tear is a common problem encountered in the emergency department. If it is not properly managed, it can lead to wound infection, skin necrosis and a need for further surgical intervention and skin grafting. Current management is to cleanse the wound, replace the thin skin tear followed by coverage with a dressing that is inducive for wound healing. Several dressings have been suggested for the coverage of these wounds. But, up to now, there has been no mention of the use of a silver-based hydrofiber dressing in the management of this condition. The objective of this study was to explore the use of a silver-based hydrofiber dressing for the management of paper-thin skin tears. We retrospectively reviewed all patients with Type 1 or 2 skin tears that had undergone management using a silver-based hydrofiber dressing between October 2019 and October 2020. Demographic data and medical history was obtained by retrospective chart review. Data that was collected included: age, sex, comorbid illnesses, defect location, defect size, complications, number of times the silver-based hydrofiber dressing was replaced and the number of days required to achieve complete wound healing. A total of 65 patients were included in the study. There were 42 males and 23 females. There were 28 patients whose age was greater then 85 years old, of which 14 patients were over 90 years old. The mean number of outpatient visits was 2. The mean defect size was 33 cm2 (range 1 cm × 1 cm to 18 × 10 cm). The mean number of days required for total wound healing was 13 days (range 7-21). We did not encounter any patients that required further surgical debridement or split-thickness skin grafting. The use of a silver-based hydrofiber dressing was well tolerated by the elderly population as it provided an easy, efficient, economical and effective form of management of skin tears. We suggest that a silver-based hydrofiber dressing can be used as a first-line treatment method for type 1 and 2 skin tears.
皮肤撕脱伤是急诊科常见的问题。如果处理不当，可导致伤口感染、皮肤坏死，需要进一步手术干预和植皮。目前的治疗方法是清洗伤口，更换薄的皮肤撕脱伤，然后用促进伤口愈合的敷料覆盖。已经有几种敷料被建议用于覆盖这些伤口。但是，到目前为止，还没有提到在这种情况下使用含银水胶体纤维敷料。本研究的目的是探讨使用含银水胶体纤维敷料治疗纸样薄的皮肤撕脱伤。我们回顾性分析了 2019 年 10 月至 2020 年 10 月期间使用含银水胶体纤维敷料治疗的 1 型或 2 型皮肤撕脱伤患者。通过回顾性病历回顾获取人口统计学数据和病史。收集的数据包括：年龄、性别、合并症、缺损部位、缺损大小、并发症、更换含银水胶体纤维敷料的次数以及完全愈合所需的天数。共有 65 例患者纳入研究。其中男性 42 例，女性 23 例。28 例患者年龄大于 85 岁，其中 14 例患者年龄大于 90 岁。平均门诊就诊次数为 2 次。平均缺损面积为 33cm2（范围 1cm×1cm 至 18cm×10cm）。完全愈合所需的平均天数为 13 天（范围 7-21 天）。我们没有遇到任何需要进一步清创或中厚皮片移植的患者。含银水胶体纤维敷料在老年人群中耐受性良好，因为它提供了一种简单、高效、经济和有效的皮肤撕脱伤管理方法。我们建议含银水胶体纤维敷料可作为 1 型和 2 型皮肤撕脱伤的一线治疗方法。
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