Fernanda Peixoto Cordova, Ana Claudia Furhmann, Andreia Cristina Feitosa do Carmo, Eduardo Nunes Vales, Diego Henrique Terra, Bárbara Uuritz da Silva, Diani de Oliveira Machado, Amália de Fátima Lucena, Lisiane Manganelli Girardi Paskulin
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引用次数: 0
Abstract
Objective: To analyze the effect of Unna's Boot on the healing of venous ulcers compared to other therapies.
Methods: Systematic Review carried out in the databases Scopus, Embase, Cochrane Library, Web of Science, PubMed, Cumulative Index of Nursing and Allied Health Literature, Latin American and Caribbean Literature in Health Sciences, and grey literature. Population - adult patients with venous ulcers; Intervention- Unna's Boot (UB); Control - other compression therapies (CT); Outcome- healing; Designs- randomized clinical trial, cohort study, and case control, published from 2001 to 2024. The effect of the intervention, risk of bias, and quality of evidence were evaluated. Registered with PROSPERO (CRD42021290077).
Results: A total of 39 studies were included, with 5.151 patients. The majority (71.8%) were randomized controlled trials (RCT). UB was used as intervention/control in eight studies. When comparing CTs, only 1 study with UB showed a superior effect (p < .001) in healing, compared with high compression elastic bandage. In the quality of evidence analysis, 27 studies were assessed as having a high risk of bias.
Conclusion: No superiority of UB was found in the healing of venous ulcers when compared to other CTs.
目的：分析尤纳之靴与其他疗法相比对静脉溃疡愈合的影响：与其他疗法相比，分析乌纳靴对静脉溃疡愈合的影响：在 Scopus、Embase、Cochrane Library、Web of Science、PubMed、Cumulative Index of Nursing and Allied Health Literature、Latin American and Caribbean Literature in Health Sciences 和灰色文献等数据库中进行系统综述。人群--静脉溃疡成年患者；干预--乌纳氏靴（UB）；对照--其他加压疗法（CT）；结果--愈合；设计--随机临床试验、队列研究和病例对照，发表时间为 2001 年至 2024 年。对干预效果、偏倚风险和证据质量进行了评估。在 PROSPERO 注册（CRD42021290077）：共纳入 39 项研究，5151 名患者。大多数研究（71.8%）为随机对照试验（RCT）。在 8 项研究中，UB 被用作干预/对照。在对 CT 进行比较时，只有 1 项使用 UB 的研究显示，与高压力弹力绷带相比，UB 的愈合效果更佳（p < .001）。在证据质量分析中，27 项研究被评估为偏倚风险较高：结论：与其他 CT 相比，未发现 UB 在静脉溃疡愈合方面具有优势。
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