Do silver-based wound dressings reduce pain? A prospective study and review of the literature.
Do silver-based wound dressings reduce pain? A prospective study and review of the literature.
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DOI：
10.1016/j.burns.2014.09.012
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发表时间：
2014-12-01
期刊：
影响因子：
--
通讯作者：
Sanchez, Jaime E
中科院分区：
文献类型：
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作者：
Abboud, Elia Charbel;Legare, Timothy B;Sanchez, Jaime E
含银敷料是治疗烧伤和急性及慢性伤口的主要方法。除抗菌活性外，还有传闻证据表明银敷料可调节或减轻伤口疼痛。疼痛是主观的，难以量化，大多数含银敷料的研究将疼痛作为次要结局而非主要结局进行评价。然而，具有经证实的不依赖于全身性镇痛剂的减轻疼痛能力的敷料将具有很大的实用性。在本研究中，我们在一项手术部位感染研究中比较了既往随机分配接受银-尼龙敷料与传统纱布敷料的患者的患者报告疼痛水平。与纱布敷料组相比，银敷料组患者报告术后0 - 9天疼痛较少（p
Silver-containing dressings are a mainstay in the management of burn injury and acute and chronic wounds. In addition to antimicrobial activity, there is anecdotal evidence that silver dressings may modulate or reduce wound pain. Pain is subjective and difficult to quantify, and most studies of silver-containing dressings evaluate pain as a secondary rather than a primary outcome. Nevertheless, a dressing with a proven ability to reduce pain independent of systemic analgesics would have great utility. In this study, we compared patient-reported pain levels in patients previously randomized to receiving silver-nylon dressings vs. conventional gauze dressings in a study of surgical site infection. Compared to gauze dressings, patients in the silver dressing group reported less pain between postoperative days 0 and 9 (p