使用胶带治疗增生性疤痕:全面回顾。

Scars, burns & healing Pub Date : 2021-07-12 eCollection Date: 2021-01-01 DOI:10.1177/20595131211029206
Sarah O'Reilly, Erin Crofton, Jason Brown, Jennifer Strong, Jenny Ziviani
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引用次数: 0

摘要

介绍:胶带已被用于帮助新鲜伤口闭合。对于增生性疤痕,使用胶带来减少刺激疤痕过度增生和长期增生的机械力的疗法还有待评估。本综述旨在探讨胶带作为一种微创疗法,目前在临床上的应用情况,无论疤痕的成因如何,胶带都是专门用于治疗增生性疤痕的:方法:使用MeSH术语搜索数据库,其中包括一个关于增生性瘢痕的标识符和一个关于绑带干预的标识符。研究包括以下内容:患者接受至少 12 周的胶带作为伤口闭合方法,专门用于预防疤痕;患者在疤痕形成后接受胶带作为疤痕管理方法;报告的结果涉及主观和/或客观疤痕外观;以英语提供:结果:关于无弹力胶带,其用于预防线性手术瘢痕的效果明显,可减少瘢痕的高度、颜色和瘙痒等特征。在疤痕宽度中位数、手术时间缩短和疤痕总体评分方面,结果具有统计学意义。胶带主要由参与者自己粘贴,很少出现刺激症状。一项调查纸胶带的研究报告显示,12 个月后,疤痕疼痛、瘙痒、厚度和整体疤痕隆起均有显著改善。有两篇论文报告了高弹性胶带的使用情况;然而,主观结果限制了正式分析。虽然在异常增生性疤痕治疗中使用胶带尚处于起步阶段,但新的研究表明,带有拉伸元素的胶带可能会产生积极影响:结论:用于预防线性手术疤痕的非拉伸胶带能有效减少疤痕的高度、颜色和瘙痒。纸带在伤口重塑甚至成熟疤痕上使用时也显示出效果,据报告,疤痕的颜色、厚度和柔韧性都会发生主观变化。有初步证据表明,在伤口愈合的重塑阶段使用高弹性、有弹性的胶带来处理疤痕也很有效。这些疤痕可能会很厚、发红并在皮肤上隆起,会影响患者的生活质量。不幸的是,疤痕的形成是人体愈合过程的一部分,在这个过程中,皮肤表面和下面会不断受到牵拉或张力。在伤口愈合时,使用简单的胶带(如微孔胶带)来帮助伤口闭合,有时也被用作一种疗法,以减少皮肤表面的张力,从而最大限度地减少疤痕的形成。然而,绑带的有效性尚未得到证实。本文研究了支持使用绑带减少疤痕高度、厚度和颜色特征的现有证据。初步证据表明,绑带对疤痕管理有一定的益处,对减少疤痕高度、厚度和颜色有初步疗效。需要进行更多的研究,以确定这种疗法的直接影响、与其他现有疗法的比较以及患者的观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Use of tape for the management of hypertrophic scar development: A comprehensive review.

Use of tape for the management of hypertrophic scar development: A comprehensive review.

Use of tape for the management of hypertrophic scar development: A comprehensive review.

Use of tape for the management of hypertrophic scar development: A comprehensive review.

Introduction: Tapes have been used to aid fresh wound closure. For hypertrophic scars, the use of tapes as a therapy to reduce the mechanical forces that stimulate excessive and long-term scarring is yet to be evaluated. The aim of this comprehensive review was to explore the current clinical application of tapes, as a minimally invasive option, as purposed specifically for the management of hypertrophic scarring, regardless of scar causation.

Method: Databases were searched using MeSH terms including one identifier for hypertrophic scar and one for the intervention of taping. Studies included the following: patients who received tape for a minimum of 12 weeks as a method of wound closure specifically for the purpose of scar prevention; those who received tape as a method of scar management after scar formation; reported outcomes addressing subjective and/or objective scar appearance; and were available in English.

Results: With respect to non-stretch tapes, their use for the prevention of linear surgical scarring is evident in reducing scar characteristics of height, colour and itch. Statistically significant results were found in median scar width, reduction in procedure times and overall scar rating. Tapes were predominately applied by participants themselves, and incidence of irritation was infrequently reported. After 12 months, significance with respect to scar pain, itch, thickness and overall scar elevation was reported in one study investigating paper tape. Two papers reported the use of high stretch tapes; however, subjective results limited formal analysis. Although the use of taping for abnormal hypertrophic scar management is in its infancy, emerging research indicates tapes with an element of stretch may have a positive impact.

Conclusions: Non-stretch tapes, for the prevention of linear surgical scarring, are effective in reducing scar characteristics of height, colour and itch. Paper tapes have shown effectiveness when applied during wound remodelling or even on mature scarring, with reported subjective changes in scar colour, thickness and pliability. Preliminary evidence of the benefits of high-stretch, elasticised tapes for scar management in the remodelling phase of wound healing have also been reported.

Lay summary: Patients are often concerned about unsightly scars that form on their bodies after trauma, especially burn injuries. These scars can be thick, red and raised on the skin, and can impact on the patient's quality of life. For some scars, the process of skin thickening continues for up to two years after an injury.Unfortunately, scar formation is a part of the body's healing process, whereby there is a constant pull or tension under and along the skin's surface. The use of simple tapes, such as microporetm, to help with wound closure are sometimes used as a therapy to reduce the tension on the skin's surface when a wound is healing to minimise scar formation. However, the effectiveness of taping has not been proven. This paper looks at the available evidence to support the use of taping to reduce scar features of height, thickness and colour. Initial evidence of mixed levels, suggests some benefits of tapes for scar management and show preliminary efficacy for reduction of scar height, thickness and colour. More research is required to determine the direct impact, comparison to other treatments available and patient viewpoint for this therapy.

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