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微电流疗法治疗老年人压力性溃疡的有效性:一项双盲、对照、随机临床试验。

Effectiveness of Microcurrent Therapy for Treating Pressure Ulcers in Older People: A Double-Blind, Controlled, Randomized Clinical Trial.

机构信息

Faculty of Physiotherapy and Nursing of Toledo, University of Castilla-La Mancha, 45071 Toledo, Spain.

Rest Home Montes de Toledo, 45460 Manzaneque, Spain.

出版信息

Int J Environ Res Public Health. 2022 Aug 15;19(16):10045. doi: 10.3390/ijerph191610045.

Abstract

The aim of this study was to assess the effectiveness of microcurrent therapy for healing pressure ulcers in aged people. A multicentric, randomized clinical trial was designed with a sham stimulation control. The experimental group received an intervention following a standardized protocol for curing ulcers combined with 10 h of microcurrent therapy daily for 25 days. The sham group received the same curing protocol plus a sham microcurrent stimulation. The studied healing-related variables were the Pressure Ulcer Scale for Healing (PUSH) and the surface, depth, grade, and number of ulcers that healed completely. Three evaluations were conducted: pre-intervention (T1), 14 days following the start of the intervention (T2), and 1 day after the intervention was completed (T3). In total, 30 participants met the inclusion criteria ( = 15 in each group). The improvement in the PUSH at T2 and T3 was 16.8% (CI95% 0.5-33.1) and 25.3% (CI95% 7.6-43.0) greater in the experimental group versus the sham control, respectively. The reduction in the wound area at T2 and T3 was 20.1% (CI95% 5.2-35.0) and 28.6% (CI95% 11.9-45.3) greater in the experimental group versus the control, respectively. Microcurrent therapy improves the healing of pressure ulcers in older adults, both quantitatively and qualitatively.

摘要

本研究旨在评估微电流疗法对老年人愈合压力性溃疡的疗效。采用多中心、随机临床试验设计,设有假刺激对照。实验组接受标准化溃疡治疗方案加每天 10 小时微电流治疗,共 25 天。假刺激组接受相同的治疗方案加假微电流刺激。研究的愈合相关变量包括压力性溃疡愈合量表(PUSH)以及完全愈合的溃疡的面积、深度、等级和数量。共进行了 3 次评估:干预前(T1)、干预开始后 14 天(T2)和干预完成后 1 天(T3)。共有 30 名参与者符合纳入标准(每组各 15 名)。实验组在 T2 和 T3 时 PUSH 的改善分别为 16.8%(95%CI95%为 0.5-33.1)和 25.3%(95%CI95%为 7.6-43.0),比假刺激组更显著。实验组在 T2 和 T3 时伤口面积的减少分别为 20.1%(95%CI95%为 5.2-35.0)和 28.6%(95%CI95%为 11.9-45.3),比假刺激组更显著。微电流疗法可改善老年人压力性溃疡的愈合,无论是在数量上还是质量上。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/023b/9408011/3c4ca9d982ad/ijerph-19-10045-g001.jpg

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