可切换薄膜敷料与老年皮肤/慢性伤口患者的试点研究:一项非介入性、非安慰剂对照的国家试点研究

Q1 Medicine Wound Medicine Pub Date : 2020-09-01 DOI:10.1016/j.wndm.2020.100189
Michael Schmitz , Nesat Mustafi , Sven Rogmans , Sabine Kasparek
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引用次数: 5

摘要

AimFilm敷料是最早的现代伤口敷料产品之一。在去除敷料的过程中,皮肤会产生压力。皮肤与伤口敷料之间的剪切力起着至关重要的作用。这个问题包括缺乏弹性、柔韧性和粘附性太强[3,4]。目前的研究是为了评估是否可切换配方的粘合剂确保持久和足够强的附着力。用UV-A灯照射薄膜敷料,不可逆地将附着力从强切换到弱,并保证无痛/舒适地去除敷料。方法评价试验膜在慢性创伤患者中的使用适用性、使用满意度和患者满意度。所使用的薄膜敷料由一层带有非乳胶粘合剂的薄膜衬底组成。在去除之前,用UV-A灯照射敷料以减少附着力。结果54例患者纳入研究。在每次换药时,换药后的疼痛水平比换药前的疼痛水平低。总体而言,疼痛程度在研究期间有所下降。在伤口边缘/伤口周围的反应尚未报道。临床医生对测试的膜敷料给予了良好的评分。对产品的总体满意度被评为非常好。耐受性,如穿着敷料时的疼痛和取出后的疼痛都得到了很好的评分。在使用薄膜敷料时没有引起皮肤刺激。结论该胶粘剂具有可切换功能,在外用UV-A灯照射下,可降低膜敷料对皮肤的粘附性。本研究的结果表明,在照明下减少粘连,使敷料容易和舒适的去除。
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Pilot-study switchable film dressing & elderly skin/patients with chronic wounds: A non-interventional, non-placebo-controlled, national pilot study

Aim

Film dressings were one of the first modern wound-dressing products. During the removal of the dressing skin stress occurs. An essential role is shearing force between skin and wound dressing playing [3]. This problem includes missing elasticity, flexibility and too strong adhesion [3,4].

The present study was initiated to evaluate if the switchable formulation of the adhesive ensures a durable and strong enough adhesion. Illumination of the film dressing with the UV-A lamp irreversibly switches the adhesion from strong to weak and guarantees a painless/comfortable removal of the dressing.

Methods

The present study evaluated suitability for use as well as user and patient satisfaction during use of the tested film on patients with chronic wounds. The used film dressing consists of a thin film backing with a non‑latex adhesive. Before removal the adhesion is reduced by illuminating the dressing with the UV-A lamp.

Results

54 patients were included in the study. At each dressing change, pain level after dressing change was rated lower compared to the pain level before dressing change. Overall, pain level decreased over the study period. Reactions on the wound edge/wound surroundings have not been reported.

Discussion

The clinicians gave favourable scores for the tested film dressing. The overall satisfaction with the product was rated very good. Tolerability such as pain during wearing the dressing and upon removal were given good scores. Skin irritation caused in the use of the film dressing did not occur.

Conclusion

The switchable function of the adhesive allows the adhesion of the film dressing to the skin to be reduced when illuminated by the supplied UV-A lamp. The results of the present study show that the reduced adhesion upon illumination enables easy and comfortable removal of the dressing.

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Wound Medicine
Wound Medicine Medicine-Surgery
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