ISSN 2097-6054(网络) ISSN 1672-9234(印刷) CN 11-5289/R
主管:中国科学技术协会 主办:中华护理学会
出版:中华护理杂志社
收录:中国科学引文数据库(CSCD)来源期刊
   中国期刊全文数据库
   中国核心期刊(遴选)数据库
   Scopus

中华护理教育 ›› 2021, Vol. 18 ›› Issue (11): 1032-1039.doi: 10.3761/j.issn.1672-9234.2021.11.014

• 临床实践 • 上一篇    下一篇

银离子敷料联合负压引流治疗感染性伤口的系统评价

周凌寒(),康丽萍,康良琦,卢淑婷,赖英桃(),陈雷雷   

  1. 510405 广州市 广州中医药大学第一临床医学院
  • 收稿日期:2021-03-11 出版日期:2021-11-20 发布日期:2021-11-26
  • 通讯作者: 赖英桃
  • 作者简介:周凌寒:女,本科(硕士在读),护士,E-mail: 657082962@qq.com

Silver ion dressing combined with negative pressure drainage for the treatment of infectious wounds:a systematic review

ZHOU Ling-han(),KANG Li-ping,KANG Liang-qi,LU Shu-ting,LAI Ying-tao(),CHEN Lei-lei   

  • Received:2021-03-11 Online:2021-11-20 Published:2021-11-26
  • Contact: Ying-tao LAI

摘要:

目的 探讨银离子敷料联合负压引流治疗感染性伤口的有效性。方法 检索Cochrane Library、PubMed、Embase、Web of Science、中国生物医学文献服务系统、中国知网、万方数据平台、维普中文期刊服务平台等数据库中关于银离子敷料联合负压引流治疗感染性伤口的随机对照研究,由2名研究人员进行资料提取和文献质量评价,并使用RevMan 5.4软件进行Meta分析。结果 共纳入9篇文献,总样本量为690例,其中试验组采用银离子敷料联合负压引流疗法,对照组采用银离子敷料、负压引流疗法或常规换药中一种方式进行治疗。Meta分析结果:试验组能降低压疮愈合计分量表评分[MD=-1.44,95%CI(-2.49,-0.39),Z=2.70,P=0.007]、细菌阳性率[OR=0.37,95%CI(0.27, 0.50),Z=6.16,P<0.001],缩短伤口愈合时间[MD=-6.70,95%CI(-9.00,-4.40),Z=5.71,P<0.001],提高伤口痊愈率[OR=3.32,95%CI(1.72,6.40),Z=3.58,P<0.001]。结论 银离子敷料联合负压引流治疗能有效促进感染性伤口的愈合。

关键词: 负压伤口疗法, 伤口感染, Meta分析, 银离子敷料

Abstract:

Objective To investigate the effectiveness of silver ion dressing combined with negative pressure drainage in the treatment of infectious wounds. Methods A comprehensive literature search was conducted in the Cochrane Library,PubMed,Embase,Web of Science,SinoMed,CNKI,Wanfang Data Platform,VIP datebase and other databases for randomized controlled trials of silver ion dressing combined with negative pressure drainage to treat infectious wound. Two researchers conducted data extraction and quality evaluation,and used RevMan 5.4 software for meta-analysis. Results A total of 9 articles were included,with a sample size of 690. Patients in the experimental group were treated with silver ion dressing combined with negative pressure drainage therapy,and patients in the control group were treated with silver ion dressing,negative pressure drainage therapy or conventional dressing change. Meta analysis results showed that the silver ion dressing combined with negative pressure drainage therapy can reduce the Pressure Ulcer Scale for Healing score[MD=-1.44,95%CI(-2.49,-0.39),Z=2.70,P=0.007],positive rate of bacteria[OR=0.37,95%CI(0.27,0.50),Z=6.16,P<0.001],wound healing time [MD=-6.70,95%CI(-9.00,-4.40),Z=5.71,P<0.001],and improve the wound healing rate[OR=3.32,95%CI(1.72,6.40),Z=3.58,P<0.001]. Conclusion Silver ion dressing combined with negative pressure drainage therapy can effectively promote the healing of infectious wounds.

Key words: Negative-Pressure Wound Therapy, Wound Infection, Meta-Analysis, Silver ion dressing