Negative pressure wound therapy for partial-thickness burns

作者：Dumville Jo C^*; Munson Christopher; Christie Janice

来源：Cochrane Database of Systematic Reviews, 2014, (12): CD006215.

DOI：10.1002/14651858.CD006215.pub4

• Negative-Pressure Wound Therapy
• Wound Healing
• Burns [pathology
• therapy]
• Randomized Controlled Trials as Topic
• Suction [instrumentation
• methods]
• Humans

Background
A burn wound is a complex and evolving injury, with both local and systemic consequences. Burn treatments include a variety of dressings, as well as newer strategies, such as negative pressure wound therapy (NPWT), which, by means of a suction force that drains excess fluids from the burn, tries to promote the wound healing process and minimise progression of the burn wound.
Objectives
To assess the effectiveness of NPWT for people with partial-thickness burns.
Search methods
We searched the Cochrane Wounds Group Specialised Register (searched 04 September 2014); The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2014, Issue 8).
Selection criteria
All randomised controlled trials (RCTs) and controlled clinical trials (CCTs) that evaluated the safety and effectiveness of NPWT for partial-thickness burns.
Data collection and analysis Two review authors used standardised forms, and extracted the data independently. We assessed each trial for risk of bias, and resolved differences by discussion.
Main results
One RCT, that was an interim report, satisfied the inclusion criteria. We undertook a narrative synthesis of results, as the absence of data and poor reporting precluded us from carrying out any formal statistical analysis. The trial was at high risk of bias.
Authors' conclusions
There was not enough evidence available to permit any conclusions to be drawn regarding the use of NPWT for treatment of partial-thickness burn wounds.

• 出版日期2014