同时进行光学和磁刺激对难愈合伤口的影响:真实世界证据案例系列。

IF 1.5 4区 医学 Q3 DERMATOLOGY
Jacques Neyens, Wilma van Heusden, Dennis Van Veenendaal, Jos Schols
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引用次数: 0

摘要

目的:探索光学和磁刺激(COMS)对实际环境中难以愈合伤口的影响:本研究探讨了在真实世界环境中同时进行光磁刺激(COMS)对难愈合伤口的影响:在这个病例系列中,参与者在接受标准伤口护理的同时,每周接受 1-3 次 COMS 刺激,最长持续 12 周:结果:共纳入 27 名患者(18 名女性和 9 名男性)。平均年龄为 72 岁。对标准伤口护理无效的患者伤口包括:静脉性腿溃疡(VLU,13 人);混合性腿溃疡(MLU,4 人);糖尿病足溃疡(DFU,1 人);压疮(PU,5 人);创伤性伤口(TW,4 人)。平均每周使用两次 COMS,伤口面积平均减少了 69%。在 24 名参与者中,COMS 主要用于在 12 周结束时实现伤口闭合,其中 12 人被归类为伤口完全闭合:其中 12 人的伤口完全闭合(50%;VLUs=8,PUs=3,TW=1);4 人的伤口可能愈合(17%;VLUs=2,MLUs=2);4 人的伤口 "有所改善"(17%;MLU=1,DFU=1,TWs=2);4 人的伤口 "无反应"(17%;VLUs=3,MLU=1)。PU 和 VLU 的治疗效果最好(分别有 100% 和 62% 的人被归类为完全痊愈)。在使用 COMS 的目的不在于实现伤口闭合的参与者中,COMS 成功地为两例 PU 进行了清创,并为一例 TW 进行了伤口床准备:在本系列病例中,COMS 显示出了积极的效果,似乎有利于愈合社区卫生和家庭护理环境中不同类型的难愈合伤口。COMS疗法的新特点包括:(1) PU和VLU治疗的积极效果;(2) 当锐器清创不可行时,COMS是一种潜在的清创工具;(3) COMS是为后续植皮或皮肤置换手术准备伤口床的有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of concurrent optical and magnetic stimulation in hard-to-heal wounds: a real-world evidence case series.

Objective: This work explores concurrent optical and magnetic stimulation (COMS) effects on hard-to-heal wounds in real-world settings.

Method: In this case series, participants received COMS 1-3 times per week for up to 12 weeks alongside standard wound care.

Results: A total of 27 patients (18 female and nine male) were included. Mean age was 72 years. Participants' wounds that were unresponsive to standard wound care included: venous leg ulcers (VLUs, n=13); mixed leg ulcers (MLUs, n=4); diabetic foot ulcers (DFUs, n=1); pressure ulcers (PUs, n=5); and traumatic wounds (TWs, n=4). On average, COMS was applied twice a week, resulting in an overall mean wound area reduction of 69%. In 24 participants, COMS was used primarily to achieve wound closure by the end of the 12-week period, of which: 12 were classified as complete wound closure (50%; VLUs=8, PUs=3 and TW=1); four as likely-to-heal (17%; VLUs=2 and MLUs=2); four as 'improved' (17%; MLU=1, DFU=1 and TWs=2); and four as 'non-responding' (17%; VLUs=3 and MLU=1). The best results were achieved in PUs and VLUs (respectively 100% and 62% categorised as completely healed). When used in participants where its purpose was other than that of achieving wound closure, COMS was successfully used to debride two PUs, and for wound bed preparation in one TW.

Conclusion: In this case series, COMS showed positive effects and appeared to be beneficial in healing different types of hard-to-heal wounds in community health and homecare settings. Novel COMS therapy aspects emerged: (1) positive outcomes for PU and VLU treatment; (2) COMS as a potential debridement tool when sharp debridement is unfeasible; and (3) COMS as a promising method to prepare wound beds for subsequent skin grafting or skin replacement procedures.

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来源期刊
Journal of wound care
Journal of wound care DERMATOLOGY-
CiteScore
2.90
自引率
10.50%
发文量
215
期刊介绍: Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.
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