摘要
目的探讨负压引流技术(VSD)联合胰岛素泵短期强化治疗急性软组织损伤合并糖尿病患者的疗效。方法选取2020年6月—2021年6月收治的急性软组织损伤合并糖尿病患者82例,以随机数表法分成两组,各41例。两组患者行常规血糖干预方法,此基础上对照组行清创换药治疗,观察组行VSD联合胰岛素泵短期强化治疗。对比两组患者创面愈合情况、疼痛程度、血糖变化、并发症发生情况。结果观察组创面愈合时间(6.02±2.41)d短于对照组,创面愈合率85.37%高于对照组,差异有统计学意义(t=6.318,χ^(2)=13.884,P<0.05)。观察组治疗1、3、7 d视觉模拟评分法(VAS)评分均低于对照组,差异有统计学意义(t=3.955、4.063、4.702,P<0.05)。治疗前两组患者空腹血糖、餐后2 h血糖对比,差异无统计学意义(P>0.05);治疗后观察组血糖指标低于对照组,差异有统计学意义(t=5.674、3.063,P<0.05)。观察组皮肤坏死、皮肤感染、肌肉萎缩等总发生率为4.88%,低于对照组的26.83%,差异有统计学意义(χ^(2)=7.405,P<0.05)。结论VSD联合胰岛素泵短期强化治疗急性软组织损伤合并糖尿病具有良好的治疗效果,可有效缩短创面愈合时间,缓解患者疼痛,促进血糖的降低,使并发症发生风险得到控制。
Objective To explore the curative effect of negative pressure drainage technology(VSD)combined with insulin pump in the short-term intensive treatment of acute soft tissue injury patients with diabetes.Methods A total of 82 patients with acute soft tissue injury and diabetes mellitus who were admitted from June 2020 to June 2021 were selected and divided into two groups by random number table,with 41 cases in each group.Two groups of patients underwent conventional blood glucose intervention methods,and on this basis,the control group was treated with debridement and dressing change,and the observation group was treated with VSD combined with insulin pump short-term intensive treatment.The wound healing,pain degree,blood glucose changes,and complications were compared between the two groups of patients.Results The wound healing time of the observation group was(6.02±2.41)d shorter than that of the control group,and the wound healing rate was 85.37%higher than that of the control group,the difference was statistically significant(t=6.318,χ^(2)=13.884,P<0.05).The visual analogue scoring(VAS)scores of the observation group were lower than those of the control group on the 1 d,3 d,and 7 d of treatment,and the difference was statistically significant(t=3.955,4.063,4.702,P<0.05).There was no,statistically significant difference in fasting blood glucose and 2 h postprandial blood glucose between the two groups before treatment(P>0.05).After treatment,the blood glucose index of the observation group was lower than that of the control group,the difference was statistically significant(t=5.674,3.063,P<0.05).The total incidence of skin necrosis,skin infection,and muscle atrophy in the observation group was 4.88%,which was lower than 26.83%in the control group,the difference was statistically significant(χ^(2)=7.405,P<0.05).Conclusion VSD combined with insulin pump for short-term intensive treatment of acute soft tissue injury combined with diabetes has a good therapeutic effect.It can effectively shorten the wound healin
作者
李哲
LI Zhe(Emergency Department,Hanjiang District Hospital,Putian,Fujian Province,351000 China)
出处
《糖尿病新世界》
2022年第2期39-42,共4页
Diabetes New World Magazine
关键词
急性软组织损伤
负压引流
胰岛素泵短期强化治疗
糖尿病
创面愈合
疼痛程度
Acute soft tissue injury
Negative pressure drainage
Short-term intensive insulin pump therapy
Diabetes
Wound healing
Pain degree
