Giele H P, Liddiard K, Currie K, Wood F M
Department of Plastic & Maxillofacial Surgery, Royal Perth Hospital, Western Australia.
Burns. 1997 Mar;23(2):137-41. doi: 10.1016/s0305-4179(96)00088-5.
Pressure garments are the mainstay of burn scar management despite limited scientific evidence. This study demonstrates a simple method of directly measuring the cutaneous pressures generated by a pressure garment. The results show pressure garments generate an increase in subdermal pressures in the range 9-90 mmHg depending on the anatomical site. Garments over soft sites generate pressures ranging from 9 to 33 mmHg. Over bony prominences the pressures range from 47 to 90 mmHg. This method is believed to be more representative of the pressures generated than the interpositional techniques that measure garment-skin interface pressure, as it avoids garment distortion, the interference effect of the measurement device (size, conformation, area) and directly measures subdermal pressures. The method should be useful for larger research projects on pressure therapy and also for clinical management of pressure garments in the treatment of hypertrophic scar.
尽管科学证据有限，但压力衣仍是烧伤瘢痕管理的主要手段。本研究展示了一种直接测量压力衣产生的皮肤压力的简单方法。结果表明，根据解剖部位不同，压力衣会使皮下压力增加9至90毫米汞柱。柔软部位的压力衣产生的压力范围为9至33毫米汞柱。在骨隆突部位，压力范围为47至90毫米汞柱。与测量衣肤界面压力的介入技术相比，该方法被认为更能代表所产生的压力，因为它避免了压力衣变形、测量装置（尺寸、形状、面积）的干扰效应，并能直接测量皮下压力。该方法对于更大规模的压力治疗研究项目以及压力衣治疗增生性瘢痕的临床管理都应是有用的。
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