相位角:评估慢性不愈合伤口治疗的另一种生理工具

Michael F. Moore MD, FACS, CWS, FACCWS , Nanci Dobson RN, CWCA , Lisa Castelllino RN, CWCA , Susan Kapp BSN
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引用次数: 8

摘要

本探索性研究旨在证明生物电阻抗分析(BIA)相角测量是一种监测区域伤口护理方案有效性的新工具,并且在将该状态与患者的整体代谢健康状况进行比较时具有价值。分离和测量营养补充对愈合过程的贡献程度是困难的,并且由于患者接受的许多治疗方式而混淆。目的通过一项有限的探索性研究来确定局部相角测量是否能准确反映慢性未愈合伤口的状态。通过比较局部BIA相位角测量和整体BIA相位角测量,这一信息可能会提供定量评估营养补充在不同病因伤口中的作用的能力。方法选取不同病因的创伤患者作为研究对象。每位患者都接受了针对其病情的治疗方案,所有患者均给予JUVEN®营养补充剂。结果与结论在所有患者中,BIA相位角测量反映了伤口的健康状况,为评估区域组织健康提供了准确的工具,为衡量全身治疗的有效性提供了有价值的见解。
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Phase Angle, an Alternative Physiological Tool to Assess Wound Treatment in Chronic Nonhealing Wounds

Background

This exploratory study was conducted in an effort to demonstrate that bioelectrical impedance analysis (BIA) phase angle measurement is a novel tool for monitoring the effectiveness of a wound care regimen at a regional level and is valuable in comparing that status with the overall metabolic health of the patient. Isolating and measuring the extent to which nutritional supplementation contributes to the healing process is difficult and confounded by the many treatment modalities patients undergo.

Objective

The authors conducted a limited exploratory study to determine whether regional phase angle measurements accurately reflected the status of chronic nonhealing wounds. This information would potentially provide the ability to quantitatively evaluate of the role of nutritional supplementation in wounds of varying etiologies by comparing regional BIA phase angle measurement with overall BIA phase angle measurement.

Methods

Eleven patients with wounds of varying etiologies were selected to participate. Each patient underwent a treatment regimen specific to his or her condition, and all patients were given JUVEN® nutritional supplement.

Results and Conclusion

In all patients, the BIA phase angle measurement mirrored the health of the wound and provided an accurate tool for assessing the regional tissue health, a valuable insight in measuring the effectiveness of a systemic treatment.

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