Extracorporeal shockwave therapy combined with alginate dressing for treatment of sacroiliac decubital necrosis in older adults
Autor: | Qingjun Dong, Na Liu, Hongying Liu, Haoyang Duan, He Li, Zhenlan Li, Hong Zhang |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Extracorporeal Shockwave Therapy
Male medicine.medical_specialty Alginates medicine.medical_treatment sacroiliac decubital necrosis Encephalopathy Extracorporeal 03 medical and health sciences Necrosis 0302 clinical medicine Alginate dressing Medicine Combined Modality Therapy alginate Humans 030212 general & internal medicine Clinical Case Report Pressure Ulcer therapy Debridement Rehabilitation business.industry Sacroiliac Joint General Medicine Fascia Middle Aged medicine.disease Bandages Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Extracorporeal shockwave therapy shockwave business Research Article |
Zdroj: | Medicine |
ISSN: | 1536-5964 0025-7974 |
Popis: | Rationale: Pressure sores are major clinical problems with limited treatment options. Patient concern: A 62-year-old man, admitted with unresponsive, indifferent mood, and malnutrition. A noval-shaped skin lesion deeping into the fascia was found in the sacrococcygeal region. Diagnosis: The patient was diagnosed with delayed carbon monoxide poisoning encephalopathy and stage IV sacrococcygeal pressure sores. Intervention: The patient received neurologic rehabilitation therapy and simple debridement dressing care followed by extracorporeal shockwave therapy. Outcomes: The scores for the pressure ulcer healing scale were 17 points, 13 points, 9 points, and 5 points, respectively, before treatment and at the 4-, 8-, and 12-week follow-ups. At 2 weeks after discharging the total pressure ulcer healing scale score was 0, which signifies that the sacroiliac decubital necrosis healed without adverse reactions and side effects. Lessons: This study presents a therapeutic solution for treating older adults with pressure ulcers by using extracorporeal shockwave with alginate dressing, which proved effective and safe. |
Databáze: | OpenAIRE |
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