摘要
目的:探讨糖尿病患者合并急性软组织损伤应用VSD治疗的临床疗效。方法:将河南科技大学第二附属医院和郑大一附院急诊科2016-03—2018-11期间急诊收治的64例急性软组织损伤合并糖尿病患者作为研究对象,随机将其分为负压组(32例)与对照组(32例)。对照组患者采用常规清创换药治疗,观察组患者采取VSD治疗,回顾性分析两组患者在治疗过程中创面感染率,创面愈合时间,抗生素使用时间,换药次数,留院时间以及在创伤指数、清创时间、血常规指标、血糖指标、血糖控制时间等方面的情况。结果:经综合治疗后,负压组患者的感染概率,抗生素控制时间等均明显少于对照组,创面愈合率明显高于对照组,组间比较,差异具有统计学意义(P<0.05);负压组治疗后伤口愈合时间、换药次数、留院时间显著低于对照组,组间比较,差异具有统计学意义(P<0.01)。结论:相比正常清创换药,采用VSD治疗急性软组织损伤合并糖尿病患者临床疗效明显,能显著缩短治疗时间。
Objective:To investigate the clinical efficacy of VSD in the treatment of acute soft tissue injury in diabetic patients.Method:Sixty-four patients with acute soft tissue injury and diabetes mellitus admitted to the emergency department of Henan University of Science and Technology and the First Affiliated Hospital of Zhengzhou First Affiliated Hospital from March 2016 to November 2018 were enrolled in the study according to the random number table method.Divided into negative pressure group(32 cases)and control group(32 cases).Patients in the control group were treated with conventional debridement and dressing.Patients in the observation group were treated with VSD.The wound infection rate,wound healing time,antibiotic control time,dressing times,and hospitalization time were analyzed retrospectively.As well as the trauma index,debridement time,blood routine indicators,blood glucose indicators,blood sugar control time and so on.Result:After comprehensive treatment,the infection rate and antibiotic control time of the patients in the negative pressure group were significantly lower than those in the control group.The wound healing rate was significantly higher than that in the control group.The difference was statistically significant(P<0.05).The time of wound healing,the number of dressing changes,and the time of hospitalization were significantly lower in the negative pressure group than in the control group.The difference was statistically significant(P<0.01).Conclusion:Compared with normal debridement dressing,the clinical effect of VSD in the treatment of diabetic patients with acute soft tissue injury is more significant,which can effectively stimulate the growth of wound granulation and significantly shorten the treatment time.
作者
赵扶海
王光辉
ZHAO Fuhai;WANG Guanghui(Department of Emergency,the Second Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan,471000,China;Department of Emergency,the First Affiliated Hospital of Zhengzhou University)
出处
《临床急诊杂志》
CAS
2019年第7期568-571,共4页
Journal of Clinical Emergency
关键词
急诊创伤
软组织损伤
糖尿病
负压引流技术
疗效分析
emergency trauma
soft tissue injury
diabetes
vacuum sealing drainage
efficacy analysis
