经皮电神经刺激能量对老年人的有效性：一项初步临床试验

Effectiveness of Transcutaneous Electrical Nerve Stimulation Energy in Older Adults: A Pilot Clinical Trial.

作者信息

García-Pérez Sara, García-Ríos Ma Carmen, Pérez-Mármol José Manuel, Tapia-Haro Rosa María, Albornoz-Cabello Manuel, Valenza Marie Carmen, Aguilar-Ferrándiz María Encarnación

机构信息

In the Department of Physical Therapy, Faculty of Health Science, University of Granada, Spain, Sara García-Pérez, PT, is a Postgraduate Student; Ma Carmen García-Ríos, PhD, PT, is an Associate Professor; Jose Manuel Pérez-Mármol, PhD, OT, is a Senior Lecturer; Rosa María Tapia-Haro, OT, PT, is a Lecturer; Manuel Albornoz-Cabello, PhD, PT, is an Associate Professor; Marie Carmen Valenza, PhD, PT, is an Associate Professor; and María Encarnación Aguilar-Ferrándiz, PhD, PT, is an Associate Professor. Acknowledgments: The authors thank all of the facilities and patients who participated in this study. The authors have disclosed no financial relationships related to this article. Submitted October 6, 2017; accepted in revised form May 16, 2018.

出版信息

Adv Skin Wound Care. 2018 Oct;31(10):462-469. doi: 10.1097/01.ASW.0000544614.18501.b4.

DOI:10.1097/01.ASW.0000544614.18501.b4

PMID:30234576

Abstract

OBJECTIVE

To evaluate the effectiveness of a transcutaneous electric nerve stimulation (TENS) device typically used for pain suppression (analgesia) during pressure injury (PI) healing, peripheral vascularization, and secondary pain in older adults with chronic PIs and cognitive impairment.

DESIGN AND SETTING

This pilot clinical trial followed patients from 6 nursing homes.

PATIENTS AND INTERVENTION

Twenty-two patients with PIs in the distal third of their lower limbs (7 men, 15 women) were included in this study. The control group completed standard wound care (SWC), whereas the experimental group received SWC and TENS. A total of 20 sessions were conducted for each group over 2 months, 3 times a week.

MAIN OUTCOME MEASURE

PI area, PI healing rate, blood flow, skin temperature, oxygen saturation, and level of pain at baseline and posttreatment.

MAIN RESULTS

Significant improvements were achieved in PI area (mean difference, 0.92; 95% confidence interval [CI], 0.15-1.67; P =.024), healing rate (3; 95% CI, 1-4.99; P =.009), skin temperature (1.82; 95% CI, 0.35-3.28; P =.021), and pain (1.44; 95% CI, 0.49-2.39; P =.008) in the experimental group, whereas none of the variables revealed a significant change in the control group.

CONCLUSIONS

The effect of local and spinal TENS combined with the SWC for PI produced a significant improvement in size, healing, skin temperature, and pain levels.

摘要

目的

评估一种经皮电神经刺激（TENS）设备在患有慢性压疮（PI）和认知障碍的老年人压疮愈合、外周血管形成及继发性疼痛期间用于疼痛抑制（镇痛）的有效性。

设计与背景

这项试点临床试验对来自6家疗养院的患者进行了随访。

患者与干预措施

本研究纳入了22例下肢远端三分之一处患有压疮的患者（7名男性，15名女性）。对照组接受标准伤口护理（SWC），而实验组接受SWC和TENS。两组在2个月内共进行20次治疗，每周3次。

主要观察指标

基线及治疗后的压疮面积、压疮愈合率、血流量、皮肤温度、血氧饱和度及疼痛程度。

主要结果

实验组在压疮面积（平均差值，0.92；95%置信区间[CI]，0.15 - 1.67；P = 0.024）、愈合率（3；95% CI，1 - 4.99；P = 0.009）、皮肤温度（1.82；95% CI，0.35 - 3.28；P = 0.021）和疼痛（1.44；95% CI，0.49 - 2.39；P = 0.008）方面取得了显著改善，而对照组的所有变量均未显示出显著变化。