电刺激(ES)已显示通过减轻慢性伤口患者的疼痛而显著提高生活质量。本研究旨在观察腓总神经低频脉冲可穿戴ES对下肢慢性难治性伤口的影响。
■在这项研究中,48名参与者被随机分为对照组(n=24)和治疗组(n=24)。对照组仅接受标准伤口护理(SWC),而治疗组同时给予SWC和针对腓总神经的可穿戴低频ES。伤口面积的测量,疼痛强度,伤口状态,系统记录治疗前和治疗4周后的生活质量评分。
■干预4周后,与对照组相比,治疗组的面积减少百分比显着高于对照组(Z=-3.9,p<0.001),治疗组治愈率明显高于对照组(33%vs.4%)。此外,疼痛评分视觉模拟量表(β=-0.65,p=0.019),Bates-Jensen伤口评估工具评分(p<0.05),与对照组相比,治疗组患者的慢性伤口生活质量问卷(Wound-Qol)评分(β=-4.23,p=0.003)显着降低。
■用于治疗慢性难治性伤口的腓总神经处的可穿戴低频脉冲ES显示出显着改善,并且远远优于SWC。未来的研究应扩大其范围,以包括多种伤口类型,并从多个研究中心的合作中受益。
UNASSIGNED: Electrical stimulation (ES) has been shown to substantially enhance the quality of life by alleviating pain in patients with chronic wounds. This
study aimed to observe the effects of low-frequency pulsed wearable ES at the common peroneal nerve on chronic refractory wounds of the lower limb.
UNASSIGNED: Forty-eight participants were randomly divided into control group (n = 24) and treatment group (n = 24) in this
study. The control group received standard wound care (SWC) exclusively, whereas the treatment group was administered both SWC and the wearable low-frequency ES targeting the common peroneal nerve. Measurements of wound area, pain intensity, wound status, and quality of life scores were systematically recorded both before and after 4 weeks treatment.
UNASSIGNED: After 4 weeks of intervention, the percentage area reduction was significantly higher in the treatment group compared to the control group (Z = -3.9, p < 0.001), and the healing rate of the treatment group was significantly higher than that of the control group (33% vs. 4%). Moreover, the visual Analog Scale for Pain score (β = -0.65, p = 0.019), the Bates-Jensen Wound Assessment Tool score (p < 0.05), and the questionnaire on quality of life with chronic wounds (Wound-Qol) score (β = -4.23, p = 0.003) were significantly decreased in the patients in the treatment group compared to the control group.
UNASSIGNED: The wearable low-frequency pulsed ES at the common peroneal nerve for the treatment of chronic refractory wounds showed significant improvement and were far superior compared to SWC. Future research should broaden its scope to include a diverse range of wound types and benefit from collaboration across multiple research centers.