ABSTRAK Ulkus kaki diabetik mengakibatkan mortalitas yang semakin meningkat terutamapasca amputasi, beban yang signifikan pada pembiayaan kesehatan danmenyebabkan hilangnya produktivitas. Penelitian ini bertujuan untuk mengetahuiefektivitas terapi kombinasi dari laserpunktur dan perawatan luka konvensionaldibandingkan dengan laserpunktur sham dan perawatan luka konvensionalterhadap penyembuhan ulkus kaki diabetik. Uji klinis acak tersamar ganda denganpembanding dilakukan terhadap 36 pasien yang dialokasikan ke dalam kelompokkasus atau kelompok kontrol. Tindakan laserpunktur dilakukan pada titik LI4Hegu, ST36 Zusanli, SP6 Sanyinjiao, dan KI3 Taixi bilateral serta penyinaranpada ulkus dua kali seminggu, selama empat minggu. Rerata ukuran ulkus kakidiabetik sebagai keluaran primer diukur setiap minggu. Hasil penelitianmenunjukkan perbedaan yang bermakna antara penurunan luas luka akhir dikelompok laserpunktur dan perawatan luka konvensional dengan kelompoklaserpunktur sham dan perawatan luka konvensional (p=0,006). Dapatdisimpulkan bahwa terapi kombinasi laserpunktur dan perawatan lukakonvensional efektif mempercepat penyembuhan ulkus kaki diabetik denganfrekuensi terapi dua kali seminggu. ABSTRACT Diabetic foot ulcers result in mortality is increasing, especially after theamputation, a significant burden on health financing and lead to loss ofproductivity. This study aims to determine the effectiveness of the combinationtherapy between laserpuncture and conventional wound care compared withsham laserpuncture and conventional wound treatment for healing diabetic footulcers. Double-blind randomized clinical trial with a control carried out on 36patients allocated to the case group or control group. Laserpuncture actionsperformed on LI4 point Hegu, Zusanli ST36, SP6 Sanyinjiao and Taixi KI3bilateral as well as exposure to ulcers twice a week, for four weeks. The mean sizeof diabetic foot ulcers as the primary output is measured every week. The resultsshowed a significant difference between the reduction in wound area at the end ofthe group laserpuncture and conventional wound care compare withlaserpuncture sham group and conventional wound treatment (p = 0.006). It canbe concluded that the combination therapy laserpuncture and conventional woundcare effectively accelerate the healing of diabetic foot ulcers with frequencytherapy twice a week.;Diabetic foot ulcers result in mortality is increasing, especially after theamputation, a significant burden on health financing and lead to loss ofproductivity. This study aims to determine the effectiveness of the combinationtherapy between laserpuncture and conventional wound care compared withsham laserpuncture and conventional wound treatment for healing diabetic footulcers. Double-blind randomized clinical trial with a control carried out on 36patients allocated to the case group or control group. Laserpuncture actionsperformed on LI4 point Hegu, Zusanli ST36, SP6 Sanyinjiao and Taixi KI3bilateral as well as exposure to ulcers twice a week, for four weeks. The mean sizeof diabetic foot ulcers as the primary output is measured every week. The resultsshowed a significant difference between the reduction in wound area at the end ofthe group laserpuncture and conventional wound care compare withlaserpuncture sham group and conventional wound treatment (p = 0.006). It canbe concluded that the combination therapy laserpuncture and conventional woundcare effectively accelerate the healing of diabetic foot ulcers with frequencytherapy twice a week.;Diabetic foot ulcers result in mortality is increasing, especially after theamputation, a significant burden on health financing and lead to loss ofproductivity. This study aims to determine the effectiveness of the combinationtherapy between laserpuncture and conventional wound care compared withsham laserpuncture and conventional wound treatment for healing diabetic footulcers. Double-blind randomized clinical trial with a control carried out on 36patients allocated to the case group or control group. Laserpuncture actionsperformed on LI4 point Hegu, Zusanli ST36, SP6 Sanyinjiao and Taixi KI3bilateral as well as exposure to ulcers twice a week, for four weeks. The mean sizeof diabetic foot ulcers as the primary output is measured every week. The resultsshowed a significant difference between the reduction in wound area at the end ofthe group laserpuncture and conventional wound care compare withlaserpuncture sham group and conventional wound treatment (p = 0.006). It canbe concluded that the combination therapy laserpuncture and conventional woundcare effectively accelerate the healing of diabetic foot ulcers with frequencytherapy twice a week. |