摘要
目的分析封闭负压吸引(vacuum sealing drainage,VSD)治疗糖尿病足创面的临床疗效。方法选自2016年7月至2019年9月于枣庄矿业集团中心医院住院治疗的糖尿病足患者104例随机分为常规组(53例)及VSD组(51例)。常规组采用全身以及局部抗感染治疗、改善微循环及局部清创引流治疗;VSD组在常规治疗的基础上,加用VSD技术,治疗后评价两组的治疗效果。结果VSD组治疗有效率显著高于常规组(92.1%vs 79.2%,P<0.05)。与常规组相比,VSD组创面愈合时间短[(28.5±6.8)d&(60.1±7.9)d],换药次数少[(8.2±3.2)次&(30.2±5.5)次],平均住院时间短[(22.8±4.8)d&(45.5±6.3)d],差异具有统计学意义(P<0.05)。结论VSD可有效促进糖尿病足溃疡创面炎症消退,刺激创面肉芽生长,明显缩短治疗时间,效果优于常规治疗方法。
Objective To evaluate the efficacy of vacuum sealing drainage and debridement drainage in the treatment of diabetic foot disease.Methods From July 2016 to September 2019,in Zaozhuang Mining Group Central Hospital,104 patients with diabetic foot disease were randomly divided into two groups:53 patients with traditional treatment group and 51 patients with vacuum sealing drainage treatment.The traditional treatment group was treated with systemic and local anti-inflammatory therapy,microcirculation improvement and local debridement.On the basis of traditional treatment,the vacuum sealing drainage treatment group was treated with vacuum sealing drainage.The therapeutic effect of the two groups was evaluated.Results The effective rate of treatment in vacuum sealing drainage treatment group was significantly better than that in the traditional treatment group(92.1%vs 79.2%,P<0.05).Compared with the traditional treatment group,the vacuum sealing drainage group showed better outcomes in preparation time[(28.5±6.8)d vs(60.1±7.9)d],switching frequency[(8.2±3.2)vs(30.2±5.5)],mean time in hospitalization[(22.8±4.8)d vs(45.5±6.3)d,P<0.05].Conclusion Vacuum sealing drainage can effectively promote the inflammation of diabetic foot,stimulate wound granulation growth,significantly shorten treatment time,which is better than traditional methods.
作者
刘晔
孙婷婷
李明明
韩昕健
于春晓
LIU Ye;SUN Tingting;LI Mingming;HAN Xinjian;YU Chunxiao(Central Hospital of Zaozhuang Mining Group,Zaozhuang 277800,China)
出处
《济宁医学院学报》
2020年第2期110-112,117,共4页
Journal of Jining Medical University
关键词
糖尿病足
封闭负压吸引
糖尿病
Diabetic foot
Vacuum sealing drainage
Diabetic
