Abstract:
Background:The effective hemostasis after minor debridement in an outpatient clinic is important and essential. This study is aimed at evaluating the hemostatic efficacy and safety of the kaolin-impregnated dressing for diabetic foot ulcer patient who take an anticoagulant. Methods:A prospective, randomized, clinical trial study was performed in twenty-six patients with diabetic foot ulcers who take an anticoagulant requiring minor debridement in an outpatient clinic. Minor debridement and removal of break down skin were performed by one orthopedic surgeon. Hemostasis on wound bed was achieved using kaolin-impregnated gauze (study group) and standard sterilized dry gauze (control group). Two randomized groups were compared for hemostatic efficacy and side effect. Results:For the purpose of this study, the presence or absence of hemostasis was assessed at 5 and 10 minutes after the application of dressing material. Treatment was evaluated as successful if bleeding was ceased adequately, and no extra hemostatic measures were required within 10 minutes. At 5 minutes, 80% of patients using the kaolin-impregnated gauze successfully achieved complete hemostasis versus 40% in the control group that controlled bleeding partially. With kaolin-impregnated gauze, 100% of patients show complete hemostasis at 10 minutes versus 58.3% in the standard gauze (P < .001). An adverse effect was not noted in all patients. Conclusions:The use of kaolin-impregnated gauze appears to be a safe and feasible option in managing bleeding after debridement of diabetic foot ulcers, and merits to patient who had a bleeding tendency is high. This trial is registered with CRIS registration number KCT0003894.
journal_name
J Diabetes Resjournal_title
Journal of diabetes researchauthors
Hwang YG,Lee JW,Won EA,Han SHdoi
10.1155/2019/9316380subject
Has Abstractpub_date
2019-11-11 00:00:00pages
9316380eissn
2314-6745issn
2314-6753journal_volume
2019pub_type
杂志文章,随机对照试验abstract::Exogenous insulin is the only treatment available for type 1 diabetic patients and is mostly administered by subcutaneous (SC) injection in a basal and bolus scheme using insulin pens (injection) or pumps (preimplanted SC catheter). Some divergence exists between these two modes of administration, since pumps provide ...
journal_title:Journal of diabetes research
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journal_title:Journal of diabetes research
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journal_title:Journal of diabetes research
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journal_title:Journal of diabetes research
pub_type: 杂志文章
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journal_title:Journal of diabetes research
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journal_title:Journal of diabetes research
pub_type: 杂志文章,meta分析,评审
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abstract::Previous study demonstrated that Chang Run Tong (CRT) could partly restore the colon remodeling in streptozotocin- (STZ-) induced diabetic rats. Here we investigated the mechanisms of such effects of CRT. Diabetes was induced by a single injection of 40 mg/kg of STZ. CRT was poured into the stomach by gastric lavage o...
journal_title:Journal of diabetes research
pub_type: 杂志文章
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journal_title:Journal of diabetes research
pub_type: 杂志文章
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journal_title:Journal of diabetes research
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Journal of diabetes research
pub_type: 杂志文章
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abstract::[This corrects the article DOI: 10.1155/2015/723190.]. ...
journal_title:Journal of diabetes research
pub_type: 已发布勘误
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journal_title:Journal of diabetes research
pub_type: 杂志文章
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journal_title:Journal of diabetes research
pub_type: 杂志文章
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journal_title:Journal of diabetes research
pub_type: 杂志文章
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journal_title:Journal of diabetes research
pub_type: 杂志文章
doi:10.1155/2018/1390418
更新日期:2018-11-11 00:00:00
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journal_title:Journal of diabetes research
pub_type: 杂志文章
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journal_title:Journal of diabetes research
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journal_title:Journal of diabetes research
pub_type: 杂志文章
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journal_title:Journal of diabetes research
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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journal_title:Journal of diabetes research
pub_type: 杂志文章
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journal_title:Journal of diabetes research
pub_type: 杂志文章
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journal_title:Journal of diabetes research
pub_type: 杂志文章
doi:10.1155/2016/3047574
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pub_type: 杂志文章,评审
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更新日期:2016-01-01 00:00:00