CAJ | 학술논문

目的系统评价负压伤口引流技术(NPWT)应用于慢性伤口治疗的效果.方法计算机检索2000年至2014年PubMed,CINAHL,Cochrane,MEDLINE,British Nursing Index,EBSCO,OCLC,Proquest,Nursing Consult,OVID,Elsevier,CALIS,CNKI,CBM以及万方数据库关于NPWT应用于慢性伤口治疗的随机对照实验,通过专门的评价工具对文献质量进行严格评价,对符合质量标准的研究进行Meta分析.结果共完成了28篇RCT的分析,NPWT相对于传统的敷料在减少伤口面积和伤口愈合时间上差异有统计学意义,在伤口痊愈率以及并发症发生率上差异无统计学意义.结论 NPWT在缩短慢性伤口愈合时间以及减少伤口面积上优于传统敷料,特别是下肢动静脉性的溃疡以及糖尿病足.
목적 계통평개부압상구인류기술(NPWT)응용우만성상구치료적효과.방법 계산궤검색2000년지2014년PubMed,CINAHL,Cochrane,MEDLINE,British Nursing Index,EBSCO,OCLC,Proquest,Nursing Consult,OVID,Elsevier,CALIS,CNKI,CBM이급만방수거고관우NPWT응용우만성상구치료적수궤대조실험,통과전문적평개공구대문헌질량진행엄격평개,대부합질량표준적연구진행Meta분석.결과 공완성료28편RCT적분석,NPWT상대우전통적부료재감소상구면적화상구유합시간상차이유통계학의의,재상구전유솔이급병발증발생솔상차이무통계학의의.결론 NPWT재축단만성상구유합시간이급감소상구면적상우우전통부료,특별시하지동정맥성적궤양이급당뇨병족.
Objective To systematically examine the clinical effectiveness and safety of negative pressure wound therapy (NPWT) for chronic wounds.Methods A systematic search of the major electronic databases PubMed,CINAHL,Cochrane,MEDLINE,British Nursing Index,EBSCO,OCLC,Proquest,Nursing Consult,OVID and Elsevier between 2000 to 2014 was conducted.Measures of wound size and time to heahng were extracted from the randomized controlled trials.The credibility of the outcome of each study was evaluated using a specially constructed instrument.Results We identified 28 RCTs,NPWT showed a significant effect on the wound areas reduction and healing time compared with conventional dressings,though no significant difference on complete wound healing or complication rate.Conclusions There is now sufficient evidence to show that NPWT will accelerate healing,to justify its use in the treatment of diabetes-associated chronic leg wounds.