首页|体外冲击波疗法对兔糖尿病足溃疡创面愈合的影响

体外冲击波疗法对兔糖尿病足溃疡创面愈合的影响

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目的 探讨给予体外冲击波疗法(extracorporeal shock wave therapy,ESWT)对兔糖尿病足溃疡(diabetic foot ulcers,DFU)创面愈合的疗效.方法 取新西兰大白兔40只,体质量2~3 kg,采用高脂饲养及静脉滴注四氧嘧啶溶液的方式建立兔DFU动物模型,以随机数字表法分为DFU组(给予模拟冲击波治疗,n=10)、ESWT1组(给予高于创面水平的ESWT治疗,n=10)、ESWT2组(给予创面周围ESWT治疗,n=10)、ESWT3组(给予高于创面水平联合创面周围的ESWT治疗,n=10).干预4周后,测量各组兔干预前后溃疡面积大小,计算创面愈合率.结果 与 DFU组兔比较,ESWT1组、ESWT2组、ESWT3组兔创面愈合率明显提高(P均<0.05),ESWT3组兔创面愈合率明显高于ESWT1组、ESWT2组(P均<0.05).结论 ESWT可促进DFU愈合,改善愈合情况,且创面近端平面水平联合创面周围的治疗效果好于单独某平面水平的治疗.
Effects of Extracorporeal Shock Wave Therapy on Wound Healing of Diabetic Foot Ulcer in Rabbits
Objective To investigate the effects of extracorporeal shock wave therapy(ESWT)on wound healing of diabetic foot ulcers(DFU)in rabbits.Methods A total of 40 New Zealand white rabbits weighing 2-3 kg were select-ed,the rabbits DFU animal model was established by high-fat feeding and intravenous infusion of alloxan solution,the rabbits were divided into DFU group(treated with simulated shock wave therapy,n=10),ESWT1 group(treated with ESWT above the wound level,n=10),ESWT2 group(treated with ESWT around the wound,n=10)and ESWT3 group(treated with ESWT above the wound level combined with ESWT around the wound,n=10)according to the ran-dom number table method.After 4 weeks of interventions,the ulcer area of rabbits in each group was measured before and after intervention,and the wound healing rate was calculated.Results Compared with the rabbits in DFU group,the wound healing rates of the rabbits in ESWT1 group,ESWT2 group and ESWT3 group significantly increased(all P<0.05),the wound healing rate of rabbits in ESWT3 group was significantly higher than that in ESWT1 group and ESWT2 group(all P<0.05).Conclusion ESWT can promote the healing of DFU,and the treatment effects of the prox-imal combined with the surrounding area of the wound is better than that of a single plane.

Extracorporeal shock wave therapyDiabetic foot ulcerComplication of diabetes mellitus

王浩越、穆合塔尔·伊马木尼亚孜、艾皮赛尔·阿里木、刘航宇、何健、张智斌、方继悦、邓力军、韩亚军

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610000 四川成都,成都第一骨科医院儿童骨科

新疆医科大学第二附属医院骨科

新疆医科大学第六附属医院骨科

体外冲击波疗法 糖尿病足溃疡 糖尿病并发症

新疆维吾尔自治区自然科学基金项目

2020D01C189

2024

华南国防医学杂志
广州军区医学科学技术委员会

华南国防医学杂志

CSTPCD
影响因子:0.748
ISSN:1009-2595
年,卷(期):2024.38(6)