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压力的治疗:一个系统的审查
Madhuri Reddy1, Sudeep S Gill, Sunila R Kalkar
1Department of Medicine, Hebrew Rehabilitation Center, 1200 Center St, Boston, MA 02131, USA. Madhuri.Reddy@hrca.harvard.edu
JAMA
|December 11, 2008
概括
对压力治疗的证据有限. 一项审查发现,在标准护理中,对特定的支表面,敷料,营养补充剂或辅助疗法的支持很少.
科学领域:
- 伤口愈合 治愈 伤口愈合
- 临床研究 临床研究
- 基于证据的医学基于证据的医学.
背景情况:
- 压力是一个重大的临床挑战,有许多推广的治疗方法.
- 各种压力治疗方法的相对疗效尚不清楚,需要进行全面的审查.
研究的目的:
- 系统地审查已发表的随机对照试验 (RCT),评估压力的治疗方法.
- 综合关于支表面,营养补充剂,伤口带和辅助疗法的有效性证据.
主要方法:
- 以英语出版的随机对照试验 (RCT) 的系统综述.
- 在2008年8月23日之前搜索了MEDLINE,EMBASE和CINAHL数据库.
- 从103个包含的RCT中提取了方法特征和结果.
主要成果:
- 有限的证据支持特定的支表面或敷料,而不是其他替代品.
- 一项高质量的试验表明,蛋白质补充剂改善了长期护理居民的伤口愈合.
- 与基酸盐糊相比,基酸盐敷料的愈合效果更好;其他敷料缺乏优势.
- 生物药物和辅助疗法 (如电流,超声波) 与标准护理的益处是不确定的.
结论:
- 缺乏强有力的证据支持常规使用特定的支表面或带.
- 与标准压力治疗相比,常规的营养补充或辅助疗法几乎没有益处的证据.
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