Clinical Effects of Low-energy Radial Extracorporeal Shock Wave Therapy Combing with Moisture Therapy on Traumatic Bone or Tendon Exposed Wounds_West China Medical Journal

Authors：

 DAIYong-jing , LIHong-ju , CHAIJun-ping , LIMiao-miao

Orthopedic Rehabilitation Ward, General Hospital of PLA, Beijing 100853, P. R. China;

Corresponding author：

Keywords：

Radial extracorporeal shock wave therapy; Moisture therapy; Wound; Bone exposure; Tendon exposure

DOI：

10.7507/1002-0179.20150521

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Objective To evaluate the effects of low-energy radial extracorporeal shock wave therapy (rESWT) combing with moisture therapy on traumatic bone/tendon exposed wounds, and seek the best treatment project. Methods Thirty-three patients with bone/tendon exposed wounds treated from July 2013 to July 2015 were randomly divided into trial group (n=17) and control group (n=16) according to the sequence of admission. Patients in the control group accepted moisture therapy with proper dressings to deal with the wounds, while those in the experiment group accepted both moisture therapy and rESWT therapy. Then, we compared the two groups in terms of the frequency and total times of changing dressings, healing time, healing rate and wound contraction rate. Results The healing rate of both the two groups was 100%. The trial group was significantly less than the control group in the frequency of changing dressings (P<0.05). The healing time of the trial group was significantly shorter than that of the control group (P<0.05), and wound contraction rate was higher than the control group (P<0.05). Conclusion Low-energy rESWT can shorten healing time, decrease frequency of changing dressings and total time of treatment, and perform better than moisture therapy only.

Citation： DAIYong-jing, LIHong-ju, CHAIJun-ping, LIMiao-miao. Clinical Effects of Low-energy Radial Extracorporeal Shock Wave Therapy Combing with Moisture Therapy on Traumatic Bone or Tendon Exposed Wounds. West China Medical Journal, 2015, 30(10): 1815-1817. doi: 10.7507/1002-0179.20150521 Copy

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1. 刘洋, 杨青, 陈方舟, 等. 负压封闭引流技术对肌腱与骨外露创面的治疗[J]. 实用手外科杂志, 2011, 25(1):25-27.
2. 郑瑛, 朱俊锟, 兰树华. 湿性愈合在肌腱及骨骼外露伤口护理中的应用观察[J]. 护理与康复, 2012, 11(6):530-531.
3. Nishida T, Shimokawa H, Oi K, et al. Extracorporeal cardiac shock wave therapy markedly ameliorates ischemia-induced myocardial dysfunction in pigs in vivo[J]. Circulation, 2004, 110(19):3055-3061.
4. Ito K, Fukumoto Y, Shimokawa H. Extracorporeal shock wave therapy as a new and non-invasive angiogenic strategy[J]. Tohoku J Exp Med, 2009, 219(1):1-9.
5. 蒋建新, 李磊. 战创伤救治新进展与展望[J]. 解放军医学杂志, 2010, 35(7):781-784.
6. 蒋建新, 王正国, 尹志勇. 战创伤研究进展[J]. 人民军医, 2007, 50(1):22-24.
7. 蒋琪霞, 李晓华, 周昕, 等. 三乙醇胺乳膏湿敷创伤伤口的疗效评价及其愈合计分的可行性分析[J]. 护理学报, 2012, 19(13):53-57.
8. 蒋琪霞, 徐格林, 刘新峰. 神经内科患者压疮不同清创方法的效果[J]. 中华护理杂志, 2009, 44(3):197-200.
9. 辛钟成, 刘京, 王林, 等. 低能量体外冲击波治疗的临床应用进展[J]. 北京大学学报:医学版, 2013, 45(4):657-659.
10. Goertz O, Lauer H, Hirsch T, et al. Extracorporeal shock waves improve angiogenesis after full thickness burn[J]. Burns, 2012, 38(7): 1010-1018.
11. Yang G, Luo CF, Yan XY, et al. Extracorporeal shock wave treatment improves incisional wound healing in diabetic rats[J]. Tohoku J Exp Med, 2011, 225(4):285-292.

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West China Medical Journal

Clinical Effects of Low-energy Radial Extracorporeal Shock Wave Therapy Combing with Moisture Therapy on Traumatic Bone or Tendon Exposed Wounds

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