McCulloch Joseph, Knight C Alan
School of Allied Health Professions, LSU Health Sciences Center, PO Box 33932, Shreveport, LA 71130, USA.
Ostomy Wound Manage. 2002 Mar;48(3):38-44.
Foot ulcerations secondary to diabetes have been implicated as a leading cause of amputations worldwide. Prompt healing of ulcerations can prevent many of these amputations and improve the quality of life for affected individuals. Improving blood supply and reducing ambulatory pressure on the plantar surface of the foot have been demonstrated to greatly improve limb salvage. A controlled clinical study was conducted to ascertain the effect of a noncontact, radiant warming device designed to increase wound temperature and improve tissue oxygenation. Thirty-six (36) patients with neuropathic foot wounds secondary to diabetes were assigned to management with offloading and warming (treatment) or offloading therapy only (control) for a period of 8 weeks or until healing. Individuals in the warming group were treated daily for 3 hours with the warming device. Wounds healed at a rate of 0.019 cm2 (+/- 0.019 cm2/day in the control group, P < 0.05). These results support the clinical use of noncontact radiant warming and offloading in the management of neuropathic ulcers in people with diabetes.
糖尿病继发的足部溃疡已被认为是全球截肢的主要原因。溃疡的迅速愈合可以预防许多此类截肢，并改善受影响个体的生活质量。已证明改善血液供应和减轻足部足底表面的行走压力可大大提高肢体保留率。进行了一项对照临床研究，以确定一种非接触式辐射加热装置的效果，该装置旨在提高伤口温度并改善组织氧合。36名糖尿病继发神经性足部伤口的患者被分配接受减压加加热治疗（治疗组）或仅接受减压治疗（对照组），为期8周或直至伤口愈合。加热组的患者每天使用加热装置治疗3小时。伤口愈合速度为0.019平方厘米/天（对照组为±0.019平方厘米/天，P<0.05）。这些结果支持在糖尿病患者神经性溃疡的治疗中临床使用非接触式辐射加热和减压。
