与常规接相比,在口腔切除术后施加压力的实用性:有好处还是没有好处?
Pattamaporn Kruatreepradit1, Napadon Tangjaturonrasme2, Wisarut Samuckkeethum3
1Otolaryngology Resident Physician, Department of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
概括
压力连接在口腔切除术后护理的传统方法上没有显著的优势. 这项研究没有发现排水量,持续时间或并发症的差异,这表明常规包裹对手术患者同样有效.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 整形外科 整形外科 整形外科
背景情况:
- 口腔切除术后的伤口管理缺乏可靠的证据,导致各种做法.
- 压力敷料与传统敷料在减少排水和排水保留方面的有效性仍然没有得到证实.
研究的目的:
- 为了比较压力与切除术后常规的有效性.
主要方法:
- 进行了一项开放的随机对照试验,对40名接受切除术的成人患者进行了随机对照试验.
- 患者被随机分配,接受压力或常规伤口带.
- 主要结局包括排水量和排水使用时间;次要结局是并发症和疼痛评分.
主要成果:
- 在压力组和常规服装组之间,没有观察到平均排水量 (44.25毫升与37.05毫升) 或排水放置时间 (27.65小时与26.90小时) 的显著差异.
- 压力应用相关的乳头率,疼痛评分和并发症在两组之间是相似的.
- 该研究在测量结果中没有发现压力连衣对传统连衣的统计学上显著的好处.
结论:
- 压力对接受切除术的患者而言,与传统相比,压力没有显著的优势.
- 目前的证据不支持压力的常规使用,以改善排水输出或减少并发症等结果.
- 可能需要进一步的研究来探索特定的患者亚组或替代的穿衣技术.
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