Physical Management of Scar Tissue: A Systematic Review and Meta-Analysis.

Journal of alternative and complementary medicine (New York, N.Y.) Pub Date : 2020-10-01 Epub Date: 2020-06-24 DOI:10.1089/acm.2020.0109

Carlina Deflorin, Erich Hohenauer, Rahel Stoop, Ulrike van Daele, Ron Clijsen, Jan Taeymans

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引用次数: 26

Abstract

Objective: The aim of this systematic review with meta-analysis was to describe the status on the effects of physical scar treatments on pain, pigmentation, pliability, pruritus, scar thickening, and surface area. Design: Systematic review and meta-analysis. Subjects: Adults with any kind of scar tissue. Interventions: Physical scar management versus control or no scar management. Outcome measures: Pain, pigmentation, pliability, pruritus, surface area, scar thickness. Results: The overall results revealed that physical scar management is beneficial compared with the control treatment regarding the management of pain (p = 0.012), pruritus (p < 0.001), pigmentation (p = 0.010), pliability (p < 0.001), surface area (p < 0.001), and thickness (p = 0.022) of scar tissue in adults. The observed risk of bias was high for blinding of participants and personnel (47%) and low for other bias (100%). Conclusions: Physical scar management demonstrates moderate-to-strong effects on improvement of scar issues as related to signs and symptoms. These results show the importance of specific physical management of scar tissue.

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疤痕组织的物理管理:系统回顾和荟萃分析。

目的:本系统综述荟萃分析的目的是描述物理疤痕治疗对疼痛、色素沉着、柔韧性、瘙痒、疤痕增厚和表面积的影响。设计:系统回顾和荟萃分析。受试者:有任何疤痕组织的成年人。干预措施:物理疤痕管理与控制或无疤痕管理。结果测量:疼痛、色素沉着、柔韧性、瘙痒、表面面积、疤痕厚度。结果:总体结果显示，在成人瘢痕组织的疼痛(p = 0.012)、瘙痒(p = 0.010)和柔韧性(p = 0.022)方面，物理疤痕处理比对照治疗更有利。观察到的偏倚风险在参与者和人员的盲法中较高(47%)，在其他偏倚中较低(100%)。结论:物理疤痕管理显示中等到强烈的效果，改善疤痕问题相关的体征和症状。这些结果显示了疤痕组织的特殊物理管理的重要性。

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Journal of alternative and complementary medicine (New York, N.Y.)

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