CAJ | 학술논문

目的：评价银离子敷料应用于慢性伤口治疗的效果。方法计算机检索2000-2014年 PubMed, CINAHL, Cochrane, MEDLINE, British Nursing Index, EBSCO, OCLC，Proquest，Nusing Consult，OVID，Elsevier,中国高等教育文献保障系统，中国期刊全文数据库，中国生物医学文献数据库以及万方数据系统资源，关于银离子敷料应用于慢性伤口治疗的随机对照实验,由2名研究生对文献质量进行严格评价和资料提取，对符合质量标准的研究进行Meta分析。结果银离子敷料相对于传统的敷料在减少伤口面积（P=0.0009）和伤口愈合速率（P=0.0005）上有优势，但在伤口痊愈率（P=0.38）上差异无统计学意义。结论银离子敷料在加速慢性伤口愈合上优于传统敷料。
목적：평개은리자부료응용우만성상구치료적효과。방법계산궤검색2000-2014년 PubMed, CINAHL, Cochrane, MEDLINE, British Nursing Index, EBSCO, OCLC，Proquest，Nusing Consult，OVID，Elsevier,중국고등교육문헌보장계통，중국기간전문수거고，중국생물의학문헌수거고이급만방수거계통자원，관우은리자부료응용우만성상구치료적수궤대조실험,유2명연구생대문헌질량진행엄격평개화자료제취，대부합질량표준적연구진행Meta분석。결과은리자부료상대우전통적부료재감소상구면적（P=0.0009）화상구유합속솔（P=0.0005）상유우세，단재상구전유솔（P=0.38）상차이무통계학의의。결론은리자부료재가속만성상구유합상우우전통부료。
Objective To evaluate the effect of silver-releasing dressings on non-healing chronic wounds. Methods A systematic search of literatures in PubMed, CINAHL, Cochrane, MEDLINE, British Nursing Index, EBSCO, OCLC, Proquest, Nusing Consult, OVID, Elsevier, CALIS, CNKI and CBM from January 2000 to January 2014 was conducted and the quality of the studies was critically appraised and data were extracted by two reviewers independently. Meta-analysis was conducted for the included studies. Results Silver dressings exerted a significant effect on wound size reduction (P=0.0009) and healing rate (P=0.0005) when compared with conventional dressings, though no significant difference on complete wound healing was found ( P=0.38). Conclusion The meta-analysis of the 11 RCTs provides statistical significant evidence to support the use of silver dressings in the treatment of non-healing chronic wounds.