负压伤疗法用于治疗压力
Jiyuan Shi1, Ya Gao2, Jinhui Tian2
1School of nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
The Cochrane database of systematic reviews
|May 26, 2023
概括
对压力的负压伤疗法 (NPWT) 的有效性是不确定的,原因是来自小型试验的有限,低确定性证据. 需要更多高质量的研究来证实它对伤口愈合和安全的好处.
科学领域:
- 伤口愈合研究研究研究.
- 临床有效性研究的临床有效性研究.
- 医疗器械评估 医疗器械评估
背景情况:
- 压力 (压力) 是由于长时间的压力造成的局部组织损伤.
- 负压伤疗法 (NPWT) 用于压力,但其有效性需要澄清.
- 这一审查更新了先前关于压力的NPWT的研究结果.
研究的目的:
- 评估NPWT在治疗成人压力的有效性.
- 将NPWT与替代治疗或不同的NPWT方式进行比较.
- 评估NPWT对伤口愈合和不良事件的影响.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 在多个数据库 (Cochrane,MEDLINE,Embase,CINAHL) 和试验注册表中进行了搜索.
- 包括8个RCT与327名参与者;评估偏差风险和使用GRADE的证据确定性.
主要成果:
- 关于NPWT在压力治疗中的有效性证据的确定性非常低.
- 包括的研究规模较小,存在偏差风险较高,可用的结局数据有限.
- 由于数据不足,在NPWT和敷料之间没有发现治愈或不良事件的显著差异.
结论:
- 对于压力的NPWT的疗效和安全性仍然不确定.
- 目前的证据受到小样本大小,高偏差和短期随访的限制.
- 要确定NPWT的真实价值,需要高质量的RCT,并提供可靠的报告.
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