[1]孟祥伟,师 悦,关如东.负压封闭引流技术在糖尿病足溃疡治疗中的应用研究[J].医学信息,2021,34(21):128-130.[doi:10.3969/j.issn.1006-1959.2021.21.035]
　MENG Xiang-wei,SHI Yue,GUAN Ru-dong.Application of Vacuum Sealing Drainage in the Treatment of Diabetic Foot Ulcer[J].Medical Information,2021,34(21):128-130.[doi:10.3969/j.issn.1006-1959.2021.21.035]
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负压封闭引流技术在糖尿病足溃疡治疗中的应用研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年21期
页码:
128-130
栏目:
临床研究
出版日期:
2021-11-01

文章信息/Info

Title:
Application of Vacuum Sealing Drainage in the Treatment of Diabetic Foot Ulcer
文章编号:
1006-1959（2021）21-0128-03
作者:
孟祥伟; 师 悦; 关如东
（天津市滨海新区中医医院外科，天津 300480）
Author(s):
MENG Xiang-wei; SHI Yue; GUAN Ru-dong
(Department of Surgery,Tianjin Binhai New Area Hospital of Traditional Chinese Medicine,Tianjin 300480,China)
关键词:
负压封闭引流; 糖尿病足; 溃疡; 创面愈合
Keywords:
Vacuum sealing drainage; Diabetic foot; Ulcer; Wound healing
分类号:
R632.1
DOI:
10.3969/j.issn.1006-1959.2021.21.035
文献标志码:
A
摘要:
目的 观察负压封闭引流技术在糖尿病足溃疡治疗中的应用效果。方法 选取2019年10月-2020年10月我院接诊的糖尿病足溃疡患者52例，根据随机数字表法分为观察组和对照组，每组26例。对照组给予常规降血糖治疗，观察组实施常规治疗联合负压封闭引流技术，比较两组治疗总有效率、治疗指标、疼痛评分（VAS）、并发症发生率及治疗满意度。结果 观察组治疗总有效率为96.15%，高于对照组的80.67%，差异有统计学意义（P＜0.05）；观察组溃疡面积、换药次数、创面愈合时间均小于对照组，差异有统计学意义（P＜0.05）；观察组VAS评分低于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率（3.84%）低于对照组（15.38%），差异有统计学意义（P＜0.05）；观察组治疗满意度（100.00%），高于对照组（88.46%），差异有统计学意义（P＜0.05）。结论 糖尿病足溃疡采用负压封闭引流技术治疗，可提高治疗总有效率，减少引流量和引流物更换次数，缩短创面清洁和愈合时间，减轻患者疼痛，降低并发症发生率，提高治疗满意度。
Abstract:
Objective To observe the effect of vacuum sealing drainage in the treatment of diabetic foot ulcer.Methods Fifty-two patients with diabetic foot ulcer admitted to our hospital from October 2019 to October 2020 were selected as the study subjects. They were divided into control group and observation group by random number table method, with 26 cases in each group. The control group was given conventional treatment, and the observation group was given conventional treatment combined with vacuum sealing drainage technology. The total effective rate, treatment index, pain score, complication rate and treatment satisfaction of the two groups were compared.Results The total effective rate of the observation group was 96.15%, which was higher than 80.76% of the control group, and the difference was statistically significant (P<0.05). The ulcer area, dressing change times and wound healing time in the observation group were less than those in the control group, and the differences were statistically significant (P<0.05). The pain score of the observation group was lower than that of the control group, and the difference was statistically significant (P<0.05). The incidence of complications in the observation group（3.84%） was lower than the control group （15.38%）, and the difference was statistically significant (P<0.05). The treatment satisfaction of the observation group（100.00%）, was higher than the control group（88.46%）, and the difference was statistically significant (P<0.05).Conclusion The treatment of diabetic foot ulcer with vacuum sealing drainage technology can improve the total effective rate of treatment, reduce the drainage volume and the number of drainage replacement, shorten the wound cleaning and healing time, reduce the pain of patients, reduce the incidence of complications, and improve the treatment satisfaction.

参考文献/References:

[1]李自超,王滢,陈莉波,等.负压封闭引流联合内补黄芪汤治疗糖尿病足溃疡临床观察[J].现代中西医结合杂志,2016,25(10):1058-1060.[2]胡建武,任继魁,孙晶洁,等.自体富血小板血浆联合负压封闭引流治疗糖尿病足溃疡的临床观察[J].中华烧伤杂志,2017,33(1):46-48.[3]陈伟彬,聂运修.超声清创术联合负压封闭引流技术治疗糖尿病足溃疡效果分析[J].白求恩医学杂志,2017,15(2):243-244.[4]龚磊,黎涛,杨月莲,等.前列地尔联合VSD负压吸引治疗糖尿病足溃疡疗效分析[J].中国临床新医学,2017,10(12):1196-1198.[5]吴妙琼,刘艳虹,罗群芳,等.负压封闭引流术治疗不同严重程度糖尿病足溃疡的临床价值[J].河北医学,2017,23(6):944-948.[6]张磊,曹东升,谢娟,等.负压封闭引流治疗糖尿病足效果评价[J].安徽医学,2016,37(5):517-521.[7]张冰燕,龙小芳,殷英,等.简易封闭式负压引流技术在糖尿病足溃疡中的应用分析[J].新医学,2015,9(1):45-48.[8]Romero-Cerecero O,Zamilpa A,Tortoriello J.Effectiveness and tolerability of a standardized extract from Ageratina pichinchensis in patients with diabetic foot ulcer: a randomized, controlled pilot study[J].Planta Med,2015,81(4):272-278.[9]农月稠,黄秀禄,谭小燕,等.负压引流治疗糖尿病足溃疡合并耐药菌感染的效果观察[J].中国临床新医学,2015,6(5):465-467.[10]韩维鑫.负压封闭引流技术治疗糖尿病足溃疡(Wagner2-3级)的回顾性分析[D].天津:天津医科大学,2015.[11]朱新华,柴益民,叶吉忠,等.负压封闭引流和传统修复方法促进糖尿病足愈合的比较[J].中国组织工程研究,2014,18(34):5548-5554.[12]金晶,陈育群,朱慧芬,等.负压封闭引流技术在糖尿病足溃疡治疗中的应用研究[J].浙江创伤外科,2014,21(6):981-983.[13]王明磊,王鹏飞.负压封闭引流技术治疗糖尿病足溃疡的可行性分析[J].糖尿病新世界,2018(5):183-184.[14]李海珍,王红英,仲丽丽,等.磺胺嘧啶银脂质水胶敷料结合创面负压封闭引流技术在糖尿病足溃疡中的应用[J].现代中西医结合杂志,2014,23(31):3514-3515.[15]韩维鑫,张明谏,李小兵,等.负压封闭引流技术治疗糖尿病足溃疡的临床分析[J].中国现代医药杂志,2015,17(5):62-63.

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更新日期/Last Update: 1900-01-01