常规方法与局部应用益生菌治疗糖尿病足溃疡的比较研究

Unnikrishnan E S, Balaji D, Velineni Bharath, Arul A
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引用次数: 1

摘要

糖尿病是卫生保健系统中最重要的健康问题之一。糖尿病患者易患各种并发症。糖尿病足感染是最致残的人类感染之一。由于抗菌素和抗生素耐药性的增加,现有的药物有不良的副作用和不完善的愈合机制。益生菌是一种单一的有机体或有机体的组合,能够增强人体的免疫系统,促进抗炎作用,并促进感染部位的伤口愈合过程。因此,利用益生菌消灭有害微生物,促进伤口愈合是一种革命性的策略。因此,本研究比较了传统方法和局部应用益生菌治疗糖尿病足溃疡的效果。在本研究中,两组患者的平均年龄基本相似,对照组为58.58岁,益生菌组为57.3岁。对两组患者的糖尿病足创面大小进行评估,发现两组患者的平均创面大小几乎相同。研究中发现,两组患者第1天伤口床平均评分无显著差异(对照组:8.12;益生菌:8.24),而在第7天差异显著(对照组:10.36;益生菌;11.14)和第14天(对照组:12.78;益生菌:13.56)。从第1天到第14天,两组的平均伤口床评分均有所增加,但益生菌组的增加幅度更大。目前的研究表明,益生菌可以安全地用于糖尿病感染伤口的治疗。与常规治疗一起使用益生菌可以加速伤口愈合过程,第7天和第14天的伤口床评分显著差异证明了这一点。尽管这一领域需要更多的研究来提供更好的证据来支持益生菌的使用。
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Comparative study of healing of Diabetic foot ulcers between conventional method and local application of probiotics
Diabetes mellitus is one of the most critical health issues in the health care system. Patients with Diabetes are subject to various complications. Diabetic foot infection is one of most incapacitating kinds of human infection. Due to growing antimicrobial and antibiotic resistance, existing medications have undesirable side effects and inadequate healing mechanisms. Probiotics are either a single organism or combination of organisms capable of boosting the body’s immune system, promoting anti-inflammatory action, and enhancing the wound healing process at the site of an infection. Therefore, it is a revolutionary strategy to use probiotics to eradicate harmful microorganisms and enhance wound healing. Hence the present study was performed to compare the conventional method and local application of probiotics to treat Diabetic foot ulcer. In present study average age of patients in both group were found almost similar 58.58 years in control group and 57.3 years in probiotic group. The diabetic foot wound size of all patients in both groups were evaluated and it was found that mean wound size in both group were almost same. During the study it was found that there was no significant difference in mean wound bed score between two groups on day 1(Control:8.12; Probiotic: 8.24), whereas a significant difference observed on day 7(Control: 10.36; Probiotic; 11.14) and day 14 (Control:12.78; Probiotic:13.56). An increase was seen in mean wound bed score in both groups from day 1 to day 14 but it was observed more in Probiotic group. Present study concludes that probiotics can be safely utilized in therapy of infected diabetic wounds. The probiotic when used along with conventional therapy could results in the hastening the wound healing process as evidenced by significant difference in the day 7 and 14 wound bed scores. Although more studies are needed in this field to give better evidence for support of probiotic use.
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