Therapeutic ultrasound for pressure ulcers

摘要: BACKGROUND Pressure sores have been recorded as occurring in 4-10% of patients admitted to a UK District General Hospital (the precise rate depends on case-mix) and an unknown proportion the community. They represent major burden sickness reduced quality life for their carers, are costly health service providers. can be treated by using wound dressings, relieving pressure wound, treating concurrent conditions which may delay healing, use physical therapies such electrical stimulation, laser therapy ultrasound. OBJECTIVES To assess effectiveness therapeutic ultrasound treatment sores. SEARCH STRATEGY The Cochrane Wounds Groups search strategy was used (see Scope) randomised controlled trials (RCTs) up December 1999. SELECTION CRITERIA Randomised comparing with sham or other (standard) treatment. DATA COLLECTION AND ANALYSIS Results searches were scrutinised one reviewer identify possible RCTs full reports these obtained. Details eligible studies extracted summarised data extraction sheet. Attempts made obtain missing information contacting authors. Data checked second reviewer. Meta-analysis combine results where interventions outcome measures sufficiently similar. MAIN RESULTS A total 3 identified. Two compared third combination ultraviolet light standard Neither two found significant difference healing rates. pooled, absence heterogeneity. There no evidence benefit associated In three-arm comparison there increase weekly rates ultrasound/ultraviolet but statistically between control. REVIEWER'S CONCLUSIONS suggest apparent However possibility beneficial harmful effect cannot ruled out due small number methodogical limitations numbers participants.