- 期刊
Effect of Foot Soaking on the Healing of Diabetic Foot Ulcers
足部泡盆對糖尿病足病患傷口癒合效果之探討
摘要
糖尿病病患合併糖尿病足會增加致病率及死亡率，並增加醫療成本之花費。改善糖尿病病足之照顧有其重要性及必要性，然而有關傷口照顧措施仍有部分爭議。足部泡盆（foot soaking）與否，即是其中一個具爭議性之照顧措施。足剖泡盆仍是臨床廣為應用的照顧措施，雖然一些臨床專家建議避免足部泡盆，但仍缺乏足夠之研究證據支持。本研究之目的在評估使用足部泡盆於不同糖尿病病足等級之效果。自2009年1月至12月，共收案51位國糖尿病病足入院之第二型糖尿病病患，其中26位以1% povidone-iodine溶液每日足部泡盆15分鐘4次，另25位病人則未接受泡盆。所有病人都接受外科治療、傷口照顧，以及血糖控制。結果顯示使用足部泡盆與否，對於不同等級之糖尿病病足傷口癒合，並無顯著之差異。
並列摘要
Diabetic foot ulcer is associated with increased morbidity and high resource use. Despite improving foot care for diabetic patients, there are a few controversies in the management of diabetic foot ulcers. Foot soaking is one of the controversial subjects in this field. Although some experts suggest avoiding foot soaking, there are few studies on its influence on diabetic foot ulcer outcome. Moreover, foot soaking is still common practice in daily care. This study aims to assess the effect of foot soaking in terms of wound grade change in diabetic foot ulcerations. From January 2009 to December 2009, 51 patients with type 2 diabetes were admitted for diabetic foot ulcerations. 26 of them received daily foot soaking in 1% povidone-iodine solution for minutes, whereas 25 patients didn't received foot soaking treatment. All patients received comprehensive care including surgical debridement as appropriate, moist wound care, and intensive glucose control. The wound healing was similar at discharge for both treatment groups. Foot soaking, as part of a comprehensive care regimen of diabetic foot ulcer, may not adversely affect the wound grade compared to conventional therapy.