Effect of low-frequency ultrasonic debridement combined with functional dressing in the outpatient treatment of chronic wounds from training injuries

XIAO Lei; SUN Yanyan; HAN Tianhe; XIAO Lijun; CHEN Fangqing

doi:10.3969/j.issn.1004-3594.2026.09.005

PDF(1054 KB)

Medical Journal of the Chinese People Armed Police Forces ›› 2026, Vol. 37 ›› Issue (9) : 757-761. DOI: 10.3969/j.issn.1004-3594.2026.09.005

ORIGINAL ARTICLES

Effect of low-frequency ultrasonic debridement combined with functional dressing in the outpatient treatment of chronic wounds from training injuries

XIAO Lei¹, SUN Yanyan¹, HAN Tianhe¹, XIAO Lijun², CHEN Fangqing^1*

Author information +

History +

Abstract

Objective To explore the effect of low-frequency ultrasonic debridement combined with functional dressing in the outpatient treatment of chronic wounds caused by training injuries of military officers and soldiers. Methods A total of 60 military personnel with chronic wounds from the outpatient department of Jingnan Medical District of PLA General Hospital from October 2024 to October 2025 were selected, and randomly divided into a study group (low-frequency ultrasonic debridement combined with silver alginate dressing) and a control group (conventional mechanical debridement with silver alginate dressing), with 30 patients in each group. Both groups received treatment for two weeks. The therapeutic effect, debridement time, symptom resolution time, wound bacterial culture positivity rate before treatment and 2 weeks after treatment, wound pain score, incidence of adverse reactions, quality of life, and nursing satisfaction were compared between the two groups. Results After 2 weeks of treatment, the total effective rate of the study group was 96.67%, and the scores for all dimensions of quality of life and nursing satisfaction were better than those of the control group, with statistically significant differences (P<0.05). The debridement time of the study group [(15.35±2.33) days], the inflammation symptom resolution time [(5.48±2.33) days], the bacterial culture positivity rate in the wound 2 weeks after debridement (13.89%), and the pain score [(3.32±1.18) points], were all better than those of the control group, with statistically significant differences (P<0.05). No adverse reactions were observed in either group. Conclusions The treatment with low-frequency ultrasonic debridement combined with silver alginate dressing can accelerate the healing of chronic wounds, shorten the debridement time and inflammation resolution time, relieve the debridement pain, provide no adverse reactions in the wound, and improve the quality of life and nursing satisfaction, which can be used for outpatient treatment of chronic wounds in military personnel.

Key words

low-frequency ultrasonic debridement / functional dressing / military officers and soldiers / training injury / chronic wounds / outpatient treatment

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

XIAO Lei, SUN Yanyan, HAN Tianhe, XIAO Lijun, CHEN Fangqing. Effect of low-frequency ultrasonic debridement combined with functional dressing in the outpatient treatment of chronic wounds from training injuries[J]. Medical Journal of the Chinese People Armed Police Forces. 2026, 37(9): 757-761 https://doi.org/10.3969/j.issn.1004-3594.2026.09.005

References

[1] 汪斌,叶青,马德亮,等.官兵骨关节训练伤582例住院情况分析[J]. 武警医学, 2023,34(1):83-84.
[2] 蔡巍,姚琦,谭海涛,等.西南边防某部队军事训练伤的流行病学调查[J].联勤军事医学,2023,37(7):618- 621.
[3] 戴炜,吉兆华,霍君艺,等.成人体表慢性难愈性创面的相关危险因素分析[J].中国美容医学,2023,32(4): 17-21.
[4] 葛现才,殷德英,付本国,等.舰艇官兵发生下肢水密门外伤的调查研究和防范措施[J].海军医学杂志, 2022,43(10):1074-1076.
[5] 王辉振,洪朝辉,姚剑清.外科清创联合封闭式负压引流术治疗慢性创面的临床疗效分析[J].中外医疗, 2021,40(33):66-68,76.
[6] 周娟娟.慢性创面多学科诊疗护理模式应用于伤口护理门诊中的效果研究[J].医药卫生,2022,8:127-129.
[7] Wang W,Lu K J,Yu C H,et al.Nano-drug delivery systems in wound treatment and skin regeneration[J].J Nanobiotechnology,2021,17(1):82-89.
[8] 陈家扬,吴卓檀,张卫华,等.超声清创联合负压封闭引流治疗糖尿病足溃疡的Meta分析与试验序贯分析[J]. 广西医学,2024,46(4):556-565.
[9] 袁云霞,程亚艳,徐袁丁,等.超声清创联合新型功能敷料在外伤感染创面中应用研究[J].蚌埠医学院学报, 2023,48(8):1143-1146.
[10] 王红玉,郝艳艳,曾满琴,等.超声清创结合光子治疗在慢性创面治疗中的应用[J].现代医药卫生,2024, 40(10):1683-1686.
[11] Ji Y,Song W,Xu L,et al.A review on electrospun poly(amino acid) nanofibers and their applications of hemostasis and wound healing[J].Biomolecules,2022,12(6):794-799.
[12] 张燕,李静,耿霞,等.生物止血功能性敷料对252例细菌性阴道病患者阴道微生态平衡的影响[J].宁夏医学杂志,2024,46(2):168-171.
[13] 谢丽君.功能性敷料在浆细胞性乳腺炎伤口换药中的应用效果[J].健康导刊,2025,2(5):22-24.
[14] 常祺,李春宝,贺杰,等.军事训练伤诊断与防治原则专家共识(2022版)[J].军事医学,2022,46(9):641- 646.
[15] 杨丽然,邱仁宗.世界医学会《赫尔辛基宣言》——涉及人类受试者的医学研究的伦理原则[J].医学与哲学,2009,74-75.
[16] Bacchetti P,Leung J M.Sample size calculations in clinical research[J].Anesthesiology,2002,97(4):1028-1029.
[17] 孙晓勤,付丽,谭晓蕾.持续封闭式负压引流联合银离子敷料在慢性难愈性创面中的效果观察及护理[J]. 护理实践与研究,2017,14(13):117-118.
[18] 薛亭,潘友珍,杨艳黎,等.促愈外用方熏洗对热毒炽盛型肛周脓肿术后创面愈合的疗效[J].中国中西医结合外科杂志,2023,29(1):11-14.
[19] 胡微澜,韩威利,李明勇.腹腔镜胃癌根治术后应用不同剂量布比卡因竖脊肌平面阻滞的镇痛效果[J].郑州大学学报(医学版),2024,59(5):683-686.
[20] 李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,35 (2):38-42.
[21] 姚小双,郭莉,李文芳.延续护理联合循证护理对膝关节军事训练伤术后疼痛及功能恢复的影响[J].中国伤残医学,2023,31(8):63-65.
[22] Karuppan Perumal M K,Rajan Renuka R,Manickam Natarajan P.Evaluating the potency of laser-activated antimicrobial photodynamic therapy utilizing methylene blue as a treatment approach for chronic periodontitis[J]. Front Oral Health,2024,5:1407201.
[23] Álvaro Afonso F J,Flores Escobar S,Sevillano Fernández D,et al.Low-frequency contact ultrasonic debridement in diabetic foot ulcer[J].Wound Repair Regen,2023,31(6):745-751.
[24] Wang X,Huang Y,Liu D,et al.The Masquelet induced membrane technique with PRP-FG-nHA/PA66 scaffold can heal a rat large femoral bone defect[J].BMC Musculoskelet Disord,2024,25(1):455-461.
[25] 唐丽丽,首家保,谢利勤,等.超声清创联合改良封闭式负压吸引技术在慢性创面中的应用[J].当代医药论丛,2025,23(23):52-54.
[26] Faraji N,Parizad N,Goli R,et al.Fighting diabetic foot ulcer by combination therapy, including larva therapy, Medi honey ointment, and silver alginate dressings: a case report[J].Int J Surg Case Rep,2023,113:109055.
[27] Hu W W,Lin Y T.Alginate/polycaprolactone composite fibers as multifunctional wound dressings[J]. Carbohydr Polym,2022,289:119440.
[28] Maliszewska I,Czapka T.Electrospun polymer nanofibers with antimicrobial activity[J].Polymers (Basel),2022,14(9):1661-1666.
[29] 周新利,翟晓燕.藻酸钙敷料对超声清创肛周脓肿术后患者创面的影响[J].四川生理科学杂志, 2024,46(1):37-39.
[30] 张政,吴茜茜,刘爱丽,等.一次性根治术联合新型敷料对肛周脓肿的疗效[J].武警医学,2025,36(8):654-657.
[31] Noera G,Mimuli M,Saggini R.Low-frequency ultrasound and markov property for wound healing based management[J].Surg Clin Prac,2025,2(1):1-6.
[32] 杨洋,李惠娴,黄远梅,等.莫匹罗星软膏与银离子抗菌功能性敷料对浅Ⅱ度烧伤患者创面愈合、细菌清除率及感染指标的影响[J].临床误诊误治,2023,36(3):113-117.