一种新型伤口愈合软膏在磨蚀性伤口模型中的伤口愈合特性:一项随机的、个体内的临床研究

Q1 Medicine
M. Kuhlmann , W. Wigger-Alberti , Y.v. Mackensen , M. Ebbinghaus , R. Williams , F. Krause-Kyora , R. Wolber
{"title":"一种新型伤口愈合软膏在磨蚀性伤口模型中的伤口愈合特性:一项随机的、个体内的临床研究","authors":"M. Kuhlmann ,&nbsp;W. Wigger-Alberti ,&nbsp;Y.v. Mackensen ,&nbsp;M. Ebbinghaus ,&nbsp;R. Williams ,&nbsp;F. Krause-Kyora ,&nbsp;R. Wolber","doi":"10.1016/j.wndm.2019.02.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>Moist wound healing conditions are beneficial in a professional wound care setting as well as for self-treatment of acute, superficial wounds. The purpose of this randomized, controlled, investigator-blinded investigation was to determine the local tolerability, wound healing efficacy and cosmetic outcome of a novel wound healing ointment in an intra-individual comparison of 4 treatment regimens in an abrasive wound model.</p></div><div><h3>Methods</h3><p>Standardized abrasive wounds were induced on the inner forearms of 30 healthy subjects and 4 treatment regimens were randomly allocated to test areas (wound healing ointment covered with standard first aid dressing, wound healing ointment covered with gauze, standard first aid dressing alone, untreated area covered with gauze). Wounds were treated once daily for 11 days. Local tolerability and wound healing were assessed using visual scoring and digital photography on 5 different days. The cosmetic outcome was evaluated on a follow-up visit on Day 31.</p></div><div><h3>Results</h3><p>The wound healing ointment exhibited excellent local tolerability with superior assessments in comparison to treatment utilizing only dressings without ointment. Significant differences between AUC values for re-epithelization and overall wound healing efficacy were demonstrated in favor of treatment with the wound healing ointment in comparison to dry wound healing conditions. Wounds treated with the wound healing ointment showed a faster onset of healing and the cosmetic outcome was rated as being superior for the wound healing ointment both by the investigator and the subject.</p></div><div><h3>Conclusion</h3><p>Superficial cutaneous wounds treated with the novel wound healing ointment displayed a significant improvement of wound healing with an earlier onset of re-epithelization, faster wound closure and a better cosmetic outcome. Clinically relevant accelerated wound healing compared to traditional dry healing could be shown demonstrating the benefits of moist wound healing conditions also in the treatment of minor, superficial wounds (Clinical trial identification number: EUDAMED_CIV 17-04-019364).</p></div>","PeriodicalId":38278,"journal":{"name":"Wound Medicine","volume":"24 1","pages":"Pages 24-32"},"PeriodicalIF":0.0000,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.wndm.2019.02.002","citationCount":"17","resultStr":"{\"title\":\"Wound healing characteristics of a novel wound healing ointment in an abrasive wound model: A randomised, intra-individual clinical investigation\",\"authors\":\"M. Kuhlmann ,&nbsp;W. Wigger-Alberti ,&nbsp;Y.v. Mackensen ,&nbsp;M. Ebbinghaus ,&nbsp;R. Williams ,&nbsp;F. Krause-Kyora ,&nbsp;R. Wolber\",\"doi\":\"10.1016/j.wndm.2019.02.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>Moist wound healing conditions are beneficial in a professional wound care setting as well as for self-treatment of acute, superficial wounds. The purpose of this randomized, controlled, investigator-blinded investigation was to determine the local tolerability, wound healing efficacy and cosmetic outcome of a novel wound healing ointment in an intra-individual comparison of 4 treatment regimens in an abrasive wound model.</p></div><div><h3>Methods</h3><p>Standardized abrasive wounds were induced on the inner forearms of 30 healthy subjects and 4 treatment regimens were randomly allocated to test areas (wound healing ointment covered with standard first aid dressing, wound healing ointment covered with gauze, standard first aid dressing alone, untreated area covered with gauze). Wounds were treated once daily for 11 days. Local tolerability and wound healing were assessed using visual scoring and digital photography on 5 different days. The cosmetic outcome was evaluated on a follow-up visit on Day 31.</p></div><div><h3>Results</h3><p>The wound healing ointment exhibited excellent local tolerability with superior assessments in comparison to treatment utilizing only dressings without ointment. Significant differences between AUC values for re-epithelization and overall wound healing efficacy were demonstrated in favor of treatment with the wound healing ointment in comparison to dry wound healing conditions. Wounds treated with the wound healing ointment showed a faster onset of healing and the cosmetic outcome was rated as being superior for the wound healing ointment both by the investigator and the subject.</p></div><div><h3>Conclusion</h3><p>Superficial cutaneous wounds treated with the novel wound healing ointment displayed a significant improvement of wound healing with an earlier onset of re-epithelization, faster wound closure and a better cosmetic outcome. Clinically relevant accelerated wound healing compared to traditional dry healing could be shown demonstrating the benefits of moist wound healing conditions also in the treatment of minor, superficial wounds (Clinical trial identification number: EUDAMED_CIV 17-04-019364).</p></div>\",\"PeriodicalId\":38278,\"journal\":{\"name\":\"Wound Medicine\",\"volume\":\"24 1\",\"pages\":\"Pages 24-32\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.wndm.2019.02.002\",\"citationCount\":\"17\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Wound Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2213909518300624\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wound Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213909518300624","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 17

摘要

目的:理想的伤口愈合条件有利于专业的伤口护理环境以及急性、浅表伤口的自我治疗。这项随机、对照、研究者盲法研究的目的是通过对磨蚀性创面模型中4种治疗方案的个体内比较,确定一种新型创面愈合软膏的局部耐受性、创面愈合疗效和美容效果。方法30例健康受试者前臂创面采用标准磨料创面,4种治疗方案随机分为标准急救敷料覆盖创面愈合膏、纱布覆盖创面愈合膏、单独使用标准急救敷料、纱布覆盖未治疗区。伤口每天治疗一次,持续11天。采用视觉评分法和数码摄影法在5天内评估局部耐受性和伤口愈合情况。在第31天的随访中评估美容效果。结果创面愈合软膏具有良好的局部耐受性,与仅使用敷料而不使用软膏的治疗相比,具有更好的评价。再上皮的AUC值和总体伤口愈合效果之间的显著差异表明,与干燥伤口愈合条件相比,伤口愈合软膏治疗有利于伤口愈合。用伤口愈合药膏治疗的伤口愈合速度更快,研究者和受试者都认为伤口愈合药膏的美容效果更好。结论应用新型创面愈合软膏治疗浅表皮肤创面,可显著改善创面愈合,使创面上皮再生发生早,创面愈合快,美容效果好。与传统的干性愈合相比,临床相关的加速伤口愈合可以显示湿性伤口愈合条件在治疗轻微浅表伤口方面的益处(临床试验识别号:EUDAMED_CIV 17-04-019364)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Wound healing characteristics of a novel wound healing ointment in an abrasive wound model: A randomised, intra-individual clinical investigation

Objective

Moist wound healing conditions are beneficial in a professional wound care setting as well as for self-treatment of acute, superficial wounds. The purpose of this randomized, controlled, investigator-blinded investigation was to determine the local tolerability, wound healing efficacy and cosmetic outcome of a novel wound healing ointment in an intra-individual comparison of 4 treatment regimens in an abrasive wound model.

Methods

Standardized abrasive wounds were induced on the inner forearms of 30 healthy subjects and 4 treatment regimens were randomly allocated to test areas (wound healing ointment covered with standard first aid dressing, wound healing ointment covered with gauze, standard first aid dressing alone, untreated area covered with gauze). Wounds were treated once daily for 11 days. Local tolerability and wound healing were assessed using visual scoring and digital photography on 5 different days. The cosmetic outcome was evaluated on a follow-up visit on Day 31.

Results

The wound healing ointment exhibited excellent local tolerability with superior assessments in comparison to treatment utilizing only dressings without ointment. Significant differences between AUC values for re-epithelization and overall wound healing efficacy were demonstrated in favor of treatment with the wound healing ointment in comparison to dry wound healing conditions. Wounds treated with the wound healing ointment showed a faster onset of healing and the cosmetic outcome was rated as being superior for the wound healing ointment both by the investigator and the subject.

Conclusion

Superficial cutaneous wounds treated with the novel wound healing ointment displayed a significant improvement of wound healing with an earlier onset of re-epithelization, faster wound closure and a better cosmetic outcome. Clinically relevant accelerated wound healing compared to traditional dry healing could be shown demonstrating the benefits of moist wound healing conditions also in the treatment of minor, superficial wounds (Clinical trial identification number: EUDAMED_CIV 17-04-019364).

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Wound Medicine
Wound Medicine Medicine-Surgery
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信