Original Article
Application of noninvasive skin-stretching device in wound healing of diabetic foot
Liangchen Wang, Chenrui Wang, Hongmei Chen, Da Zhang, Ying Chen, Juan Li, Li Xiao, Luning Wang, Di Zhu, Caizhe Yang
Published 2018-11-27
Cite as Chin J Diabetes Mellitus, 2018, 10(11): 729-734. DOI: 10.3760/cma.j.issn.1674-5809.2018.11.008
Abstract
ObjectiveTo evaluate the clinical value of noninvasive skin-stretching device in the healing of diabetic foot after toe amputation or debridement.
MethodsA total of 51 diabetic patients with diabetic foot gangrene at Wagner stage 4 after toe amputation or debridement were recruited in the study from May 2017 to March 2018 by using a prospective cohort design. The patients were assigned into trial group (n=17) and control group (n=34) and matched by 1∶2 ratio [age:(54.9±10.8) yrs vs (59.2±11.3) yrs, duration of diabetic foot: 1.0(1.0, 4.1) months vs 1.5(1.0, 2.0) months]. All patients underwent basic treatment and vacuum sealing drainage therapy until exposing bones were covered by fresh granulation tissues and wound inflammation disappeared. The wounds of control group were received regular dressing change, and adhesive noninvasive skin-stretching devices were applied to the wounds of trial group. The wounds were observed from the 1st day to the day of wound healing or 3 months after surgery. Healing rates were compared, and Kaplan-Meier survival analysis was used for comparing cumulative wound healing rate over time between two groups.
ResultsThe healing rate of trial group was significantly higher than that of control group (94.1% vs 58.8%, χ2=5.206, P<0.05). The differences of Kaplan-Meier healing time curve between two groups were statistically significant (P<0.01). Median of healing time in trial group was significantly shorter than that in control group [42 (41, 59) d vs 78 (50, 90) d, Z=3.30, P<0.01]. Taking the end of the last vacuum sealing drainage therapy as the starting point of time, the differences of Kaplan-Meier healing time curve between two groups were statistically significant (P<0.01), and the median of healing time in trial group was significantly shorter than that in control group [13 (8, 14) d vs 42 (26, 42) d, Z=4.845, P<0.01].
ConclusionThe application of noninvasive skin-stretching device in diabetic foot gangrene in the repairation stage after surgery can reduce wound healing time and increase wound healing rate.
Key words:
Diabetic foot; Negative-pressure wound therapy; Wound healing; Skin-stretching device
Contributor Information
Liangchen Wang
Department of Endocrinology, Air Force General Hospital of PLA, Beijing 100142, China
Chenrui Wang
Hongmei Chen
Da Zhang
Ying Chen
Juan Li
Li Xiao
Luning Wang
Di Zhu
Caizhe Yang