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磁光 LED 疗法与磁刺激联合应用辅助治疗静脉性下肢溃疡的疗效比较——初步研究。

Comparison of the therapeutic efficacy of magneto-LED therapy and magnetostimulation applied as the adjuvant treatment of venous leg ulcers - preliminary study.

机构信息

Faculty of Health Sciences, Jan Długosz University in Częstochowa, Częstochowa, Poland.

Faculty of Medical Sciences, Medical University of Mazovia in Warsaw, Warszawa, Poland.

出版信息

Electromagn Biol Med. 2024 Apr 2;43(1-2):95-106. doi: 10.1080/15368378.2024.2325414. Epub 2024 Mar 6.

Abstract

PURPOSE

Venous leg ulcers are chronic wounds that are difficult to cure. The aim of the study was to compare the therapeutic efficacy of two methods of physical medicine - magneto-LED therapy and magnetostimulation, applied as adjuvant treatment in the treatment of venous leg ulcers.

METHODS

The study included 81 patients, 37 male (45.6%) and 44 female (54.3%) ones, age range between 45 and 90 years, with venous leg ulcers. The patients were assigned to two study groups: magneto-LED therapy (group 1) or magnetostimulation (group 2). In both groups, a total of 40 daily procedures were performed. Wound healing was evaluated using computerized planimetry and the pain intensity on numeric rating scale.

RESULTS

After treatment, the decrease in healing rate in group 1 was statistically significantly higher in comparison to group 2 ( < 0.001), while a statistically significant reduction in the surface area of ulcers was obtained, amounting on the average from 6.34 ± 1.29 cm to 2.31 ± 1.25 cm in group 1 ( < 0.001), and from 6.52 ± 1.20 cm to 4.79 ± 1.17 cm in group 2 ( < 0.001). The percentage changes of ulcers area in group 1 (64.21 ± 17.94%) were statistically significantly greater as compared to group 2 (25.87 ± 14.07%) ( < 0.001). After treatment, the decrease in pain relief in group 1 was statistically significantly higher in comparison to group 2 ( = 0.006), while pain intensity after treatment decreased statistically significantly in both compared groups of patients ( < 0.001).

CONCLUSIONS

Magneto-LED therapy and magnetostimulation caused significant reduction of surface area of the treated venous leg ulcers and pain intensity, yet magneto-LED therapy was more efficient. Both evaluated methods also significantly reduced pain intensity.

摘要

目的

静脉性腿部溃疡是一种难以治愈的慢性伤口。本研究的目的是比较两种物理医学疗法——磁-光疗法和磁刺激的疗效,将其作为辅助治疗应用于静脉性腿部溃疡的治疗中。

方法

本研究纳入了 81 名患者,男 37 名(45.6%),女 44 名(54.3%),年龄 45-90 岁,患有静脉性腿部溃疡。将患者分为两组:磁-光疗法(第 1 组)或磁刺激(第 2 组)。两组均进行 40 次每日治疗。使用计算机化的平面图评估伤口愈合情况,并使用数字评分量表评估疼痛强度。

结果

治疗后,第 1 组的愈合率下降幅度明显高于第 2 组( < 0.001),溃疡面积也明显减小,第 1 组平均从 6.34±1.29cm 减少到 2.31±1.25cm( < 0.001),第 2 组从 6.52±1.20cm 减少到 4.79±1.17cm( < 0.001)。第 1 组溃疡面积的百分比变化(64.21±17.94%)明显大于第 2 组(25.87±14.07%)( < 0.001)。治疗后,第 1 组疼痛缓解的下降幅度明显高于第 2 组( = 0.006),而两组患者的疼痛强度均明显降低( < 0.001)。

结论

磁-光疗法和磁刺激均可显著减少治疗后静脉性腿部溃疡的面积和疼痛强度,但磁-光疗法更有效。两种评估方法均显著降低了疼痛强度。

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