Institute of Neuropalliative Rehabilitation, Royal Hospital for Neuro-disability, West Hill, Putney, London, UK.
Clin Rehabil. 2010 Mar;24(3):222-9. doi: 10.1177/0269215509346083. Epub 2010 Feb 15.
To assess whether extracorporeal shock wave therapy increases the rate of healing in chronic decubitus ulceration.
Double-blind randomized cross-over study.
A large, long-stay hospital specializing in the management of people with complex neurological disabilities.
The total population of available patients with chronic neurological conditions and chronic decubitus ulceration who met the inclusion criteria.
Ulcers were randomized into receiving either the extracorporeal shock wave therapy or the placebo for a four-week period, followed by a two-week 'washout' period followed by a four-week period of the cross-over treatment/ placebo.
Measurement of the area of the ulceration. For each observation the average of three measurements were taken.
Nine ulcers (in eight patients) were included in the study: five on the buttocks/sacrum/trochanter and four on the feet/ankles. All those with static chronic ulcers showed improved healing starting 6-8 weeks after the start of extracorporeal shock wave therapy, whether treated first with the placebo or the therapy.
Extracorporeal shock wave therapy has a potential part to play in the treatment of chronic skin ulceration.
评估体外冲击波疗法是否能提高慢性褥疮溃疡的愈合率。
双盲随机交叉研究。
一家专门管理患有复杂神经功能障碍人群的大型长期住院医院。
符合纳入标准的所有患有慢性神经疾病和慢性褥疮溃疡的可利用患者。
将溃疡随机分为接受体外冲击波疗法或安慰剂治疗 4 周，然后进行为期 2 周的洗脱期，再进行 4 周的交叉治疗/安慰剂治疗。
溃疡面积。每次观察测量三次的平均值。
9 个溃疡（8 例患者）纳入研究：5 个位于臀部/骶骨/大转子，4 个位于足部/踝关节。所有患有静止性慢性溃疡的患者在接受体外冲击波治疗后 6-8 周开始出现愈合改善，无论首先接受安慰剂还是治疗。
体外冲击波疗法在慢性皮肤溃疡的治疗中有一定作用。
