Wolff C R, James P
Department of Orthopaedic Surgery, University of California, San Francisco 94122, USA.
J Pediatr Orthop. 1995 May-Jun;15(3):386-8. doi: 10.1097/01241398-199505000-00024.
The purpose of this study is to determine whether the use of the Goretex Pantaloon cast liner for children's spica casts reduces urine excoriation of the skin under the cast and reduces the incidence of unplanned cast changes necessitated by cast soilage. Between 1988 and 1993, 72 consecutive children who had 147 hip spica casts applied were followed. The first 36 patients had 77 spica casts applied without the Goretex Pantaloon, and the last 36 patients had 70 spica casts with a Goretex liner. In the group of patients without Goretex, 22% of casts were associated with urine excoriation of the skin compared to 1.4% in the group of patients who had a Goretex liner applied. This was statistically significant (p = 0.0005). The incidence of unnecessary cast changes due to soiling of the cast was 14% in the non-Goretex group compared to 2.9% in the Goretex group (p = 0.05). The use of the Goretex liner in our series resulted in a savings of $38 per cast including the cost of the liners ($75). The Goretex Pantaloon cast liner used for children's spica casts prevents urine excoriation of the skin and is cost effective.
本研究的目的是确定使用戈尔特斯（Goretex）连身裤式管型衬垫用于儿童髋人字石膏是否能减少石膏下皮肤的尿液擦伤，并降低因石膏弄脏而导致计划外更换石膏的发生率。在1988年至1993年期间，对连续72例应用了147次髋人字石膏的儿童进行了随访。前36例患者应用了77次未使用戈尔特斯连身裤式管型衬垫的髋人字石膏，后36例患者应用了70次带有戈尔特斯衬垫的髋人字石膏。在未使用戈尔特斯的患者组中，22%的石膏与皮肤尿液擦伤有关，而在应用了戈尔特斯衬垫的患者组中这一比例为1.4%。这具有统计学意义（p = 0.0005）。因石膏弄脏而导致不必要更换石膏的发生率在非戈尔特斯组为14%，而在戈尔特斯组为2.9%（p = 0.05）。在我们的系列研究中，使用戈尔特斯衬垫每个石膏节省了38美元，包括衬垫成本（75美元）。用于儿童髋人字石膏的戈尔特斯连身裤式管型衬垫可防止皮肤尿液擦伤且具有成本效益。
