Terapia de presión negativa en úlceras de pie diabético. Revisión de la literatura

[Negative pressure therapy in diabetic foot ulcers. Literature review]

  • Jesús Sánchez-Lozano Fisioterapeuta. Policlínica Baza
  • Sandra Martínez-Pizarro Enfermera. Distrito Sanitario Nordeste de Granada, Andalucía
Palabras clave: Presión Negativa, Úlcera, Pie diabético, revisión

Resumen

Objetivo: Realizar una revisión de la literatura sobre la eficacia de la terapia de presión negativa en úlceras de pie diabético. Método: Se elaboró una revisión de la literatura consultando las bases de datos electrónicas de PubMed, Lilacs, CENTRAL, WoS y SciELO. El riesgo de sesgo de los estu-dios incluidos se evaluó usando la herramienta del Manual Cochrane. Resultados: El número total de participantes fue de 614 de un total de cinco ensayos clínicos aleatorizados y controla-dos. La terapia de presión negativa fue eficaz en las úlceras de pie diabético. Conclusiones: La terapia de presión negativa reduce el tamaño de la úlcera de pie diabético, disminuye el tiempo de cierre, y acelera la curación produciendo mayor formación de tejido de granulación. Con esta terapia se necesitan me-nos cambios de apósitos, y presenta mayor rapidez de los procesos reparativos que la atención estándar.

ABSTRACT:
Objective: To conduct a review of the literature on the effec-tiveness of negative pressure therapy in diabetic foot ulcers. Method: A review of the literature was carried out by con-sulting the electronic databases of PubMed, Lilacs, CENTRAL, WoS and SciELO. The risk of bias of the included studies was assessed using the Cochrane Handbook tool. Results: The total number of participants was 614 from a total of five randomized controlled clinical trials. Negative pressure therapy is effective in diabetic foot ulcers. Conclusions: Negative pressure therapy reduces the size of the diabetic foot ulcer, decreases closure time, and accel-erates healing by producing greater formation of granulation tissue. With this therapy, fewer dressing changes are needed, and the reparative processes are faster than stand-ard care. Keywords: Negative Pressure; Ulcer; Diabetic Foot; Revision.

Citas

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Publicado
2023-12-29
Cómo citar
1.
Sánchez-Lozano J, Martínez-Pizarro S. Terapia de presión negativa en úlceras de pie diabético. Revisión de la literatura: [Negative pressure therapy in diabetic foot ulcers. Literature review]. Enferm Dermatol [Internet]. 29 de diciembre de 2023 [citado 20 de mayo de 2024];17(50):21-5. Disponible en: https://enfermeriadermatologica.org/index.php/anedidic/article/view/210
Sección
Trabajos de Investigación