Rakel B A, Bermel M A, Abbott L I, Baumler S K, Burger M R, Dawson C J, Heinle J A, Ocheltree I M
University of Iowa Hospitals and Clinics, Iowa City 52242, USA.
Appl Nurs Res. 1998 Nov;11(4):174-82. doi: 10.1016/s0897-1897(98)80296-6.
Split-thickness skin grafting (STSG) is a frequently used reconstructive technique but is associated with a large variation in practice. The purposes of this article are to integrate and synthesize the available empirical evidence regarding STSG donor site dressings, identify which dressings are associated with the best outcomes, and provide practice recommendations. This review of 33 studies found transparent film to be the best dressing for the care of STSG donor site wounds. Transparent film was associated with one of the fastest healing rates (9.47 days), a smooth epithelialized surface, a low infection rate (10 out of 394 patients or 3%), the least amount of pain (1.59 on 0 to 10 scale), and minimal cost ($.005 per square inch) when compared with other dressings.
分层皮片移植（STSG）是一种常用的重建技术，但在实际应用中存在很大差异。本文的目的是整合和综合关于STSG供区敷料的现有实证证据，确定哪些敷料与最佳结果相关，并提供实践建议。这项对33项研究的综述发现，透明薄膜是护理STSG供区伤口的最佳敷料。与其他敷料相比，透明薄膜的愈合速度最快（9.47天），上皮化表面光滑，感染率低（394例患者中有10例，即3%），疼痛程度最轻（0至10分制中为1.59分），成本最低（每平方英寸0.005美元）。
