Systematic review of dressings and topical agents for surgical wounds healing by secondary intention
作者： H. Vermeulen , D. T. Ubbink , A. Goossens , R. de Vos , D. A. Legemate
DOI: 10.1002/BJS.5055
关键词:
摘要: Background: The best dressing for postoperative wounds healing by secondary intention is unknown. Methods: A systematic review was conducted to assess the effectiveness of dressings and topical agents on such wounds. Main endpoints were wound healing, pain, patient satisfaction, costs hospital stay. Systematic methodological appraisal data extraction performed independent reviewers. Results: Fourteen reports 13 randomized clinical trials or (gauze, foam, bead, alginate hydrocolloid dressing) identified; they weak quality. In general, no statistically significant differences in found various comparisons (11 trials). Patients experienced significantly more pain (four six trials) less satisfied when gauze used (three Gauze inexpensive, but its use associated with nursing time than foam (two three No substantial stay five trials). Conclusions: Only small, poor-quality exist, rendering evidence insufficient. Foam studied as an alternative appears be preferable terms reduction, satisfaction time. Copyright © 2005 British Journal Surgery Society Ltd. Published John Wiley & Sons,
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