负压创伤治疗糖尿病足溃疡及对周围组织氧分压的作用研究

摘要

目的 观察负压创伤治疗技术(NPWT)对糖尿病足溃疡的治疗效果.方法 36例糖尿病足溃疡患者采用智能NPWT治疗,22例采用常规清创、换药方法 治疗.两组均辅以控制血糖、血压、抗凝、抗感染及对症支持治疗.观察疗效,并测定溃疡周围组织氧分压.结果 NPWT组总有效率为94.44%,常规治疗组总有效率为81.81%,NPWT组疗效优于常规治疗组(P＜0.05).NPWT组治疗后经皮氧分压较治疗前明显提高(P＜0.05);常规治疗组治疗后2周无明显提高(P＞0.05).结论 NPWT治疗糖尿病足溃疡疗效显著,能提高溃疡周边组织氧分压,这可能是促进创面愈合的重要原因之一.%Objective To discuss thc efficacy of negative-pressure wound therapy( MPWT ) for treatment of diabetic foot utcers. Methods Thirty six patients vvith diabetic foot utcer underwent. MPW'tt MPWT gmup ),22 patients vvkh diabetic foot underwent, conventionat treatment(conventionat treatment gmup). Adjuvant therapy of Wood sugar and Wood pressure controt,anticoagutation,anti-infection and supporting treatment was performed in the two groups. The efficacy was observed and oxygen partiat pressure for surrounding tissue was measured. Resutts The totat effective rate was 94. 44% in MPWT group,which was 81. 81% in conventionat treatment gmup. The efficacy of MPWT gmup was superior to that of conventionat treatment group( P ＜0. 05 ). Percutaneous oxygen partiat pressure showed a significant improvement in the MPWT group after treatment( P ＜0. 05 ), which showed no significant improvement in the conventionat treatment group after two-week treatment( P ＞0. 05 ). Conctusion MPWT for treatment of diabetic foot utcers shows a good effectiveness, which can improve oxygen partiat pressure for surrounding tissue of diabetic foot utcers. It may be one of the important causes to promote wound heating.