比較取皮區使用不同敷料材質對植皮手術病患之成效

Comparison of Different Dressing Materials on Split Thickness Skin Graft Donor Sites

10.6142/VGHN.27.3.285

嚴美華(Mei-Hua Yen)；何玉鈴(Yu-Ling Ho)；王曼溪(Man-Hsi Wang)

植皮手術 ； 取皮區 ； 透明薄膜敷料 ； 親水性纖維敷料 ； split-thickness skin graft ； donor site ； polyurethane film ； hydrofiber dressing

榮總護理

27卷3期（2010 / 09 / 01）

285 - 295

繁體中文

The purpose of this study was to present the outcome between the use of Aquacel and Opsite on skin graft donor sites. The study was designed as a case control study, and 60 patients were recruited. Each donor site was divided into two areas which were dressed individually with Aquacel (experimental groups) and Opsite (control groups). The results showed that there was no significant difference in the frequency of dressing change. The dressing time was lesser for Opsite group compared to Aquacel group (p＜.05), and Aquacel group reported higher pain level than Opsite group in the initial post-operation (post-op) day. However, the pain was relieved significantly on the 4th post-op day (p＜.001). Aquacel group had shorter wound healing time (p＜.001). While the infection rate was same for both (p＞.05). None of the materials were optimal dressing for skin graft donor sites, but Aquacel provided more rapid wound healing on donor sites and Opsite was the least painful material. These factors can be considered by health care professionals when making a clinical choice.

The purpose of this study was to present the outcome between the use of Aquacel and Opsite on skin graft donor sites. The study was designed as a case control study, and 60 patients were recruited. Each donor site was divided into two areas which were dressed individually with Aquacel (experimental groups) and Opsite (control groups). The results showed that there was no significant difference in the frequency of dressing change. The dressing time was lesser for Opsite group compared to Aquacel group (p＜.05), and Aquacel group reported higher pain level than Opsite group in the initial post-operation (post-op) day. However, the pain was relieved significantly on the 4th post-op day (p＜.001). Aquacel group had shorter wound healing time (p＜.001). While the infection rate was same for both (p＞.05). None of the materials were optimal dressing for skin graft donor sites, but Aquacel provided more rapid wound healing on donor sites and Opsite was the least painful material. These factors can be considered by health care professionals when making a clinical choice.

1. 林怡君(2017)。分層皮膚移植供皮區傷口照護成效分析：系統性回顧與統合分析。義守大學醫務管理學系學位論文。2017。1-107。