| 陈永翀,弥 伟,刘 江,李 青,任晓华,张泰安,杜贵华,许元弟.MEBO治疗5级糖尿病足溃疡临床疗效观察[J].中国烧伤创疡杂志,2015,(1):58~66. |
| DOI： |
| 中文关键词: 糖尿病足 溃疡 湿润烧伤膏 外科清创 临床疗效 |
| 英文关键词:Diabetic foot Ulcer MEBO Surgical debridement Clinical effects |
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| 中文摘要: |
| 目的 总结、分析湿润烧伤膏（MEBO）治疗5级糖尿病足溃疡的临床疗效，为临床治疗提供借鉴。方法 33例5级糖尿病足溃疡患者，在局部采用MEBO结合外科清创技术治疗的同时，给予抗感染、营养支持等全身综合治疗，观察记录治疗效果。结果 33例患者中，死亡2例，失访1例，治愈30例，治愈率为90.91%；创面愈合时间为34～196 d，平均71.16 d。结论 MEBO治疗5级糖尿病足溃疡能有效降低高位截肢率，促进创面愈合及患足功能的恢复，疗效肯定。 |
| 英文摘要: |
| Objective To summarize and analyze the clinical therapeutic effects of MEBO in the treatment of Wagner 5 diabetic foot ulcer (DFU) and to provide reference for clinical treatment.Methods Thirty-three patients with Wagner 5 DFU were treated with topical application of MEBO plus surgical debridement, in combination with the systemic treatments including anti-infection, nutritional support and etc., and the therapeutic effects were observed and recorded. Results Of the 33 patients, 2 were dead, 1 got lost during the follow-up, and the other 30 were healed. The curative rate was 90.91%. The healing time of the wounds were 34～196 days, at an average of 71.16 days. Conclusion MEBO in the treatment of Wagner 5 DFU can realize definitetherapeutic effects such as effectively decreasing the rate of high amputation, and promoting the wound healing and functional rehabilitation of the affected foot. |
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