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超声辅助清创术治疗糖尿病足溃疡的效果:一项荟萃分析。

Effect of ultrasound-supported wound debridement in subjects with diabetic foot ulcers: A meta-analysis.

机构信息

Department of Emergency Medical Center, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.

Department of Nephrology, The Fifth Hospital of Wuhan, Wuhan, China.

出版信息

Int Wound J. 2023 Sep;20(7):2618-2625. doi: 10.1111/iwj.14133. Epub 2023 Mar 11.

Abstract

A meta-analysis study to assess the effect of ultrasound-supported wound debridement (USSD) in subjects with diabetic foot ulcer (DFU). A comprehensive literature examination till January 2023 was implemented and 1873 linked studies were appraised. The picked studies contained 577 subjects with DFUs in the studies' baseline, 282 of them were using USSD, 204 were using standard care, and 91 were using a placebo. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were used to calculate the consequence of USSD in subjects with DFUs by the dichotomous styles and a fixed or random effect model. The USSD applied to DFU caused a significantly higher wound healing rate compared with the standard care (OR, 3.08; 95% CI, 1.94-4.88, P < .001) with no heterogeneity (I  = 0%) and the placebo (OR, 7.61; 95% CI, 3.11-18.63, P = .02) with no heterogeneity (I  = 0%). The USSD applied to DFUs caused a significantly higher wound healing rate compared with the standard care and the placebo. Though precautions should be taken when commerce with the consequences as all of the picked studies for this meta-analysis was with low sample sizes.

摘要

一项荟萃分析研究评估了超声辅助清创术(USSD)在糖尿病足溃疡(DFU)患者中的疗效。对截至 2023 年 1 月的文献进行了全面检索,评估了 1873 项相关研究。入选的研究包含了 577 例基线期有 DFU 的患者,其中 282 例采用 USSD,204 例采用标准护理,91 例采用安慰剂。采用二项式和固定或随机效应模型,计算 USSD 对 DFU 患者的影响,使用比值比(OR)及其 95%置信区间(CI)。与标准护理相比,USSD 应用于 DFU 可显著提高伤口愈合率(OR,3.08;95%CI,1.94-4.88,P<0.001),异质性为 0%(I²=0%),与安慰剂相比(OR,7.61;95%CI,3.11-18.63,P=0.02),异质性为 0%(I²=0%)。USSD 应用于 DFU 可显著提高伤口愈合率,与标准护理和安慰剂相比。尽管在考虑这些荟萃分析中所有入选研究的样本量都很小的情况下,应该对结果持谨慎态度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0a8/10410332/9c2db6e6439d/IWJ-20-2618-g002.jpg

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