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富含海藻酸钠水凝胶对糖尿病患者伤口的影响。

Effects of Hydrogel With Enriched Sodium Alginate in Wounds of Diabetic Patients.

机构信息

Murilo Antonio Gustinelli Barbosa, MN, is Nurse, Guarulhos University, São Paulo, Brazil.

André Oliveira Paggiaro, PhD, is Plastic Surgeon, Guarulhos University, São Paulo, Brazil.

出版信息

Plast Surg Nurs. 2020 Apr/Jun;40(2):110-115. doi: 10.1097/PSN.0000000000000317.

Abstract

Objective of this study was to evaluate the efficacy of the autolytic debridement promoted by hydrogel with sodium alginate enriched with fatty acids and vitamins A and E in the healing of foot wounds in diabetic patients. A clinical study was conducted at an outpatient clinic of medical specialties. The sample comprised 8 patients supervised for a 3-month period, from April to July 2017, by means of a clinical history, photographic record, planimetry, and classification of the wound severity by the Pressure Ulcer Scale for Healing (PUSH) system. Of the 8 patients supervised, 1 dropped out and 7 were followed up for 12 weeks. Only 2 had complete wound healing, but all presented a reduction of the lesion area of approximately 22.2% and PUSH score of 9.8 to 6.6. This study found that hydrogel showed good results for the treatment of diabetic feet, reducing the area and overall PUSH score of the wounds.

摘要

本研究的目的在于评估富含脂肪酸、维生素 A 和 E 的海藻酸钠水凝胶的自溶性清创效果,以此促进糖尿病患者足部伤口的愈合。这是一项在医学专科门诊进行的临床研究。该研究的样本包括 8 名患者,他们在 2017 年 4 月至 7 月期间接受了为期 3 个月的临床病史、照片记录、平面测量和压疮愈合量表(PUSH)系统的伤口严重程度分类的监测。在这 8 名接受监测的患者中,有 1 人退出,7 人接受了 12 周的随访。只有 2 人完全愈合,但所有患者的伤口面积减少了约 22.2%,PUSH 评分从 9.8 降至 6.6。本研究发现,水凝胶在治疗糖尿病足方面效果良好,可减少伤口的面积和整体 PUSH 评分。

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