The Healing Effect of Low-Temperature Atmospheric-Pressure Plasma in Pressure Ulcer: A Randomized Controlled Trial
อภิรักษ์ ช่วงสุวนิช*, Tananchai Assadamongkol, Dheerawan BoonyawanDivision of Plastic Surgery, Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University 2 Prannok Road, Bangkoknoi, Bangkok 10700, Thailand. Email: apirag@gmail.com
บทคัดย่อ
Pressure ulcers are difficult to treat. Recent reports of low-temperature atmospheric-pressure plasma (LTAPP) indicated its safe and effectiveness in chronic wound care management. It has been shown both in vitro and vivo studies that LTAPP not only helps facilitate wound healing but also has antimicrobial efficacy due to its composition of ion and electron, free radicals, and ultraviolet ray. We studied the beneficial effect of LTAPP specifically on pressure ulcers. In a prospective randomized study, 50 patients with pressure ulcers were divided into 2 groups: Control group received standard wound care and the study group was treated with LTAPP once every week for 8 consecutive weeks in addition to standard wound care. We found that the group treated with LTAPP had significantly better PUSH (Pressure Ulcer Scale for Healing) scores and exudate amount after 1 week of treatment. There was also a reduction in bacterial load after 1 treatment regardless of the species of bacteria identified.
ที่มา
The International Journal of Lower Extremity Wounds ปี 2559, December
ปีที่: 15 ฉบับที่ 4 หน้า 313-319
คำสำคัญ
Pressure ulcer, chronic wound, low-temperature atmospheric-pressure plasma