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麦卢卡蜂蜜浸渍敷料治疗糖尿病神经病变足溃疡

Manuka honey-impregnated dressings in the treatment of neuropathic diabetic foot ulcers.

作者信息

Kamaratos Alexandros V, Tzirogiannis Konstantinos N, Iraklianou Stella A, Panoutsopoulos Georgios I, Kanellos Ilias E, Melidonis Andreas I

机构信息

Diabetes Center, Tzanio General Hospital, Piraeus, GreeceDepartment of Nursing, University of Peloponnese, Orthias Artemidos and Plateon, Sparta, Lakonia, Greece.

出版信息

Int Wound J. 2014 Jun;11(3):259-63. doi: 10.1111/j.1742-481X.2012.01082.x. Epub 2012 Sep 18.

Abstract

In this study, we investigate the effect of manuka honey-impregnated dressings (MHID) on the healing of neuropathic diabetic foot ulcers (NDFU). A total of 63 Caucasians, type 2 diabetic patients followed up in the diabetic foot outpatient clinic comprised the study population. Patients were randomised in two groups as follows: group I patients were treated with MHID and group II patients were treated with conventional dressings (CD). The patients were followed up on a weekly basis for 16 weeks. Mean healing time was 31 ± 4 days in group I versus 43 ± 3 days in group II (P < 0·05). In group I patients 78·13% of ulcers became sterile during the first week versus 35·5% in group II patients; the corresponding percentages for weeks 2, 4 and 6 were 15·62% versus 38·7%, 6·25% versus 12·9% and 0% versus 12·9% respectively. The percent of ulcers healed did not differ significantly between groups (97% for MHID and 90% for CD). MHID represent an effective treatment for NDFU leading to a significant reduction in the time of healing and rapid disinfection of ulcers.

摘要

在本研究中,我们调查了麦卢卡蜂蜜浸渍敷料(MHID)对神经性糖尿病足溃疡(NDFU)愈合的影响。共有63名在糖尿病足门诊随访的2型糖尿病白种人患者构成了研究人群。患者被随机分为两组如下:第一组患者接受MHID治疗,第二组患者接受传统敷料(CD)治疗。患者每周随访一次,共16周。第一组的平均愈合时间为31±4天,而第二组为43±3天(P<0.05)。在第一组患者中,78.13%的溃疡在第一周内变为无菌,而第二组患者为35.5%;第2、4和6周的相应百分比分别为15.62%对38.7%、6.25%对12.9%和0%对12.9%。两组之间愈合的溃疡百分比无显著差异(MHID为97%,CD为90%)。MHID是治疗NDFU的一种有效方法,可显著缩短愈合时间并使溃疡快速消毒。

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