首页> 中文期刊> 《局解手术学杂志 》 >不同换药方式治疗局部清创术后糖尿病足伤口的疗效观察

不同换药方式治疗局部清创术后糖尿病足伤口的疗效观察

             

摘要

目的:比较不同换药方式对糖尿病足局部清创术后伤口愈合的临床治疗效果。方法选择2010年6月至2015年10月53例住院治疗的糖尿病足患者作为研究对象,将其分为对照组和观察组,对照组采用常规换药方式,观察组在常规换药的基础上加用糖尿病足外用药酒换药,以局部经皮氧分压、溃疡愈合率、平均愈合时间及截肢率为观察指标。结果观察组的愈合率和经皮氧分压显著优于对照组(P<0.05),而平均愈合时间及截肢率显著少于对照组(P<0.05)。结论在常规治疗方式上加用糖尿病足外用药酒换药可改善糖尿病足临床结局。%Objective To investigate the therapeutic effect of different methods of dressing on the wound after local debridement of dia-betic foot. Methods A total of 53 patients which underwent local debridement of diabetic foot were divided into control group and treatment group. Patients in control group were dressed on traditional measurement,while patients in the treatment group were dressed on the external medicinal wine for the diabetic foot basic on the traditional treatment. The local transcutaneous oxygen partial pressure,ulcer healing rate,av-erage healing time and the amputation rate were observed. Results The healing rate and percutaneous oxygen partial pressure of the treat-ment group were significantly increased than those in the control group (P<0. 05). The average healing time and amputation rate of the treat-ment group were significantly less than those in the control group (P<0. 05). Conclusion Dressing on external medicinal wine after local debridement of diabetic foot can improve the wound healing in the diabetic foot.

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