Miss Shimin Liu1, Mrs Huiyi Tan2, Mrs Haiyan Li2, Miss Piaopiao Zhu1, Mrs Xuemei Ye2
1Jinan University, Tianhe District, Guangzhou City, Guangdong Province, China, 2GUANGZHOU RED CROSS HOSPITAL, Haizhu District, Guangzhou City, Guangdong Province, China
Objective: To evaluate the clinical effect of functional dressings applied to the donor site wounds using meta-analysis. Methods: Computer search PubMed, Cochrane Library, Web of Science, Ebsco, Chinese Journals Full-text Database, Wanfang Database, VIP Database, search date for the database from the self-built library up to April 2018, published in the relevant functional dressing treatment Literature on the wounds of the donor area. The measurement indexes were wound healing time, infection rate, and scar growth. Revman5.3 software was used for meta-analysis. Results: A total of 13 articles were included, including 984 patients and 1057 wounds. In the functional dressing group, the wound healing time was shorter than that of the traditional dressing group, with mean difference -2.31 (with 95% concordance interval -2.67～-1.94, P<0.00001). The incidence of wound infection in the functional dressing group was lower than that in the traditional dressing group, with relative risk (RR) 0.22 (with 95% confidence interval 0.10～0.51, P=0.0004). The scar score in the functional dressing group was lower than that of the traditional dressing group, with mean difference -1.06 (with 95% concordance interval -2.31～-0.89, P<0.00001). Conclusions: Compared with traditional dressing, functional dressing can accelerate wound healing, reduce infection rates, and reduce scar hyperplasia. Due to the quality of the included studies and sample limitations, the above conclusions still need to be verified by more high-quality research.
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