A combination of ultrasonic debridement and Shenghong wet dressing in patients with chronic ulcers of the lower limbs

J Int Med Res. 2019 Oct;47(10):4656-4663. doi: 10.1177/0300060519858033. Epub 2019 Aug 30.

Abstract

Objective: This study aimed to examine the effects of ultrasonic debridement plus a wet dressing of Shenghong (SH) on chronic ulcer healing of the lower extremities in patients with diabetes.

Methods: Sixty cases of diabetes combined with chronic lower limb ulcers were randomly divided into control (n = 30) and experimental (n = 30) groups. The control group was treated with ultrasonic debridement plus recombinant human fibroblast growth factor (FGF) gel. The experimental group was treated with ultrasonic debridement plus SH wet dressing.

Results: The mean clinical efficacy in the experimental group was significantly higher than that in the control group (93.33% ± 6.32% versus 60.0% ± 5.87%). The mean ulcer area was significantly smaller and the mean ulcer healing rate was significantly shorter in the first 3 months, and the mean overall pain intensity score was significantly lower in the experimental group than in the control group. Moreover, the positive rates of bacterial culture on the 7th and 15th days were significantly lower in the experimental group than in the control group.

Conclusion: The use of ultrasonic debridement plus SH wet dressing for treating ulcers can significantly improve clinical efficacy and promote healing.

Keywords: Shenghong liquid; Ultrasonic debridement; chronic ulcer; diabetes; fibroblast growth factor; lower limb; nursing.

Publication types

  • Clinical Trial

MeSH terms

  • Bandages*
  • Chronic Disease
  • Combined Modality Therapy
  • Debridement*
  • Drugs, Chinese Herbal / therapeutic use*
  • Humans
  • Lower Extremity / pathology*
  • Pain / pathology
  • Time Factors
  • Treatment Outcome
  • Ulcer / microbiology
  • Ulcer / pathology
  • Ulcer / therapy*
  • Ultrasonics*
  • Wound Healing

Substances

  • Drugs, Chinese Herbal