APPLICATION OF OPSITE FILM - A NEW AND EFFECTIVE TREATMENT OF PAINFUL DIABETIC NEUROPATHY

被引:18
作者
FOSTER, AVM
EATON, C
MCCONVILLE, DO
EDMONDS, ME
机构
[1] Diabetic Department, King's College Hospital, London
关键词
DIABETIC NEUROPATHY; PAIN; OPSITE FILM;
D O I
10.1111/j.1464-5491.1994.tb00351.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of the study was to assess the effect of application of OpSite dressings on the pain and quality of life in 33 patients with chronic diabetic neuropathy. The effect of OpSite was compared with no treatment. After a run-in period of 2 weeks, OpSite was applied to one of the painful legs for 4 weeks. This was followed by another period of 4 weeks when OpSite was switched to the opposite leg. Pain was assessed by visual analogue scale and the primary analysis variable was within patient difference in pain between OpSite leg and no treatment leg at week 4 corrected for baseline. Secondary variables were paracetamol pill ingestion and the quality of life dimensions, sleep, mobility, contact discomfort, appetite, and mood. Changes in these variables from baseline to weeks 4 and 8 were analysed. There was a significantly greater reduction in pain in the OpSite treated limbs than the control limbs (p < 0.001). By week 4 paracetamol intake also declined significantly (p = 0.034) and patients experienced a significant improvement in contact discomfort, sleep, mood, appetite, and mobility (p < 0.002 for all 5 variables). OpSite appeared to alleviate the pain associated with diabetic painful neuropathy and thus improved patients' quality of life.
引用
收藏
页码:768 / 772
页数:5
相关论文
共 8 条
[1]  
Archer AG, Watkins PJ, Thomas PK, Sharma AK, Payan J., Natural history of acute painful neuropathy in diabetes mellitus, J Neurol Neurosurg and Psych, 46, pp. 491-499, (1983)
[2]  
Neal DE, Whalley PC, Flowers MW, Wilson DH, The effects of an adherent polyurethane film and conventional absorbent dressing in patients with small partial thickness burns, Br J Clin Pract, 35, pp. 7-8, (1981)
[3]  
Hyams J., A use for OpSite wound dressings, The Chiropodist, 41, (1986)
[4]  
May SR., Physiology, immunology and clinical efficacy of an adherent polyurethane wound dressing: OpSite, Burn Wound Coverings, 2, pp. 53-78, (1984)
[5]  
Melzack R., Wall PD, Pain mechanisms: a new theory, Science, 150, pp. 971-979, (1965)
[6]  
Archer AG, Roberts VC, Watkins PJ, Blood flow patterns in painful diabetic neuropathy, Diabetologia, 27, pp. 563-567, (1984)
[7]  
Boulton AJM, Scarpello JHB, Ward JD, Venous oxygenation in the diabetic neuropathic foot
[8]  
evidence of arterio‐venous shunting, Diabetologia, 22, pp. 6-8, (1982)