| 张娅丽,周 晖.负压封闭引流治疗糖尿病足疗效分析[J].中国烧伤创疡杂志,2022,(4):244~246. |
| DOI： |
| 中文关键词: 糖尿病足 负压封闭引流 清创 多功能敷料 创面 |
| 英文关键词:Diabetic foot Vacuum sealing drainage Debridement Multifunctional dressing Wound |
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| 中文摘要: |
| 【摘要】 目的 探讨负压封闭引流治疗糖尿病足的临床疗效。方法 选取2017年12月至 2019年12月郑州大学附属郑州中心医院收治的74例糖尿病足患者作为研究对象，按照随机数表法将其随机分为观察组(37例)和对照组(37例)?观察组患者局部创面采用负压封闭引流治疗，对照组患者局部创面采用多功能敷料治疗，对比两组患者临床疗效、换药次数以及创面愈合时间。结果 治疗4周后，观察组患者中治愈34例、好转3例，明显优于对照组患者的治愈 25 例、好转12例 (Z = -2.585，P =0.010)。观察组患者换药次数为 (8.16±1.61) 次，明显少于对照组患者的换药次数 (12.67±2.50) 次 (t = 9.226，P < 0.001); 创面愈合时间为(33.06±6.40) d，明显短于对照组患者的创面愈合时间 (47.58±6.72) d (t =9.517，P <0.001)。结论 采用负压封闭引流治疗糖尿病足，可有效减少换药次数，缩短创面愈合时间，疗效显著。 |
| 英文摘要: |
| 【Abstract】 Objective To study the clinical efficacy of vacuum sealing drainage (VSD) in the treatment of diabetic foot. Methods 74 patients with diabetic foot, admitted into Zhengzhou Central Hospital Affiliated to Zhengzhou University between December 2017 and December 2019, were enrolled as research subjects, and divided into study group (n =37) and control group (n =37) using the random number table. The wounds of patients in study group were treated with vacuum sealing drainage (VSD) whereas the wounds of patients in control group were treated with multifunctional wound dressing. The clinical efficacy, frequency of dressing change and wound healing time were compared between the two groups. Results After 4 weeks of treatment, 34 cases were cured and 3 cases turned better in study group, which was obviously better than control group with 25 cases cured and 12 cases turning better (Z = -2.585, P =0.010). The number of dressing change was (8.16±1.61) times in study group, being obviously less than the (12.67 ±2.50) times in control group (t = 9.226, P < 0.001). The wound healing time in study group was (33.06±6.40) d, being markedly shorter than the (47.58±6.72) d in control group (t =9.517, P < 0.001). Conclusion The application of vacuum sealing drainage in the treatment of diabetic foot can effectively decrease the frequency of dressing change, shorten wound healing time, and realize good clinical efficacy. |
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