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ABSTRAK Ulkus kaki diabetik mengakibatkan mortalitas yang semakin meningkat terutama
pasca amputasi, beban yang signifikan pada pembiayaan kesehatan dan
menyebabkan hilangnya produktivitas. Penelitian ini bertujuan untuk mengetahui
efektivitas terapi kombinasi dari laserpunktur dan perawatan luka konvensional
dibandingkan dengan laserpunktur sham dan perawatan luka konvensional
terhadap penyembuhan ulkus kaki diabetik. Uji klinis acak tersamar ganda dengan
pembanding dilakukan terhadap 36 pasien yang dialokasikan ke dalam kelompok
kasus atau kelompok kontrol. Tindakan laserpunktur dilakukan pada titik LI4
Hegu, ST36 Zusanli, SP6 Sanyinjiao, dan KI3 Taixi bilateral serta penyinaran
pada ulkus dua kali seminggu, selama empat minggu. Rerata ukuran ulkus kaki
diabetik sebagai keluaran primer diukur setiap minggu. Hasil penelitian
menunjukkan perbedaan yang bermakna antara penurunan luas luka akhir di
kelompok laserpunktur dan perawatan luka konvensional dengan kelompok
laserpunktur sham dan perawatan luka konvensional (p=0,006). Dapat
disimpulkan bahwa terapi kombinasi laserpunktur dan perawatan luka
konvensional efektif mempercepat penyembuhan ulkus kaki diabetik dengan
frekuensi terapi dua kali seminggu.
ABSTRACT Diabetic foot ulcers result in mortality is increasing, especially after the
amputation, a significant burden on health financing and lead to loss of
productivity. This study aims to determine the effectiveness of the combination
therapy between laserpuncture and conventional wound care compared with
sham laserpuncture and conventional wound treatment for healing diabetic foot
ulcers. Double-blind randomized clinical trial with a control carried out on 36
patients allocated to the case group or control group. Laserpuncture actions
performed on LI4 point Hegu, Zusanli ST36, SP6 Sanyinjiao and Taixi KI3
bilateral as well as exposure to ulcers twice a week, for four weeks. The mean size
of diabetic foot ulcers as the primary output is measured every week. The results
showed a significant difference between the reduction in wound area at the end of
the group laserpuncture and conventional wound care compare with
laserpuncture sham group and conventional wound treatment (p = 0.006). It can
be concluded that the combination therapy laserpuncture and conventional wound
care effectively accelerate the healing of diabetic foot ulcers with frequency
therapy twice a week.;Diabetic foot ulcers result in mortality is increasing, especially after the
amputation, a significant burden on health financing and lead to loss of
productivity. This study aims to determine the effectiveness of the combination
therapy between laserpuncture and conventional wound care compared with
sham laserpuncture and conventional wound treatment for healing diabetic foot
ulcers. Double-blind randomized clinical trial with a control carried out on 36
patients allocated to the case group or control group. Laserpuncture actions
performed on LI4 point Hegu, Zusanli ST36, SP6 Sanyinjiao and Taixi KI3
bilateral as well as exposure to ulcers twice a week, for four weeks. The mean size
of diabetic foot ulcers as the primary output is measured every week. The results
showed a significant difference between the reduction in wound area at the end of
the group laserpuncture and conventional wound care compare with
laserpuncture sham group and conventional wound treatment (p = 0.006). It can
be concluded that the combination therapy laserpuncture and conventional wound
care effectively accelerate the healing of diabetic foot ulcers with frequency
therapy twice a week.;Diabetic foot ulcers result in mortality is increasing, especially after the
amputation, a significant burden on health financing and lead to loss of
productivity. This study aims to determine the effectiveness of the combination
therapy between laserpuncture and conventional wound care compared with
sham laserpuncture and conventional wound treatment for healing diabetic foot
ulcers. Double-blind randomized clinical trial with a control carried out on 36
patients allocated to the case group or control group. Laserpuncture actions
performed on LI4 point Hegu, Zusanli ST36, SP6 Sanyinjiao and Taixi KI3
bilateral as well as exposure to ulcers twice a week, for four weeks. The mean size
of diabetic foot ulcers as the primary output is measured every week. The results
showed a significant difference between the reduction in wound area at the end of
the group laserpuncture and conventional wound care compare with
laserpuncture sham group and conventional wound treatment (p = 0.006). It can
be concluded that the combination therapy laserpuncture and conventional wound
care effectively accelerate the healing of diabetic foot ulcers with frequency
therapy twice a week."
