改良封闭负压疗法治疗糖尿病足溃疡的疗效观察

发布时间：2018-01-15 06:22

本文关键词：改良封闭负压疗法治疗糖尿病足溃疡的疗效观察　出处：《全科护理》2017年10期 　论文类型：期刊论文

【摘要】：[目的]观察改良封闭负压疗法治疗糖尿病足溃疡的疗效。[方法]将64例糖尿病足病人随机分为两组,观察组在封闭负压疗法的基础上间断冲洗,对照组按伤口床准备的原则进行湿性换药。观察28d,比较两组病人感染发生情况、肉芽组织覆盖率、新生上皮出现时间、换药次数、换药时间、换药费用。[结果]两组病人感染发生情况、肉芽组织覆盖率、新生上皮出现时间、换药次数、换药时间、换药费用比较,差异有统计学意义(P0.05)。[结论]改良封闭负压疗法能有效促进糖尿病足愈合,降低临床工作量,减轻病人经济负担。
[Abstract]:[Objective] to observe the effect of modified negative pressure blocking therapy on diabetic foot ulcer. [Methods] Sixty-four diabetic foot patients were randomly divided into two groups: the observation group was irrigated intermittently on the basis of blocking negative pressure therapy, the control group was treated with wet dressing change according to the principle of wound bed preparation, and the observation group was observed for 28 days. The incidence of infection, the coverage of granulation tissue, the time of appearance of neonate epithelium, the times of dressing change, the time of dressing change and the cost of dressing change were compared between the two groups. [Results: there were significant differences between the two groups in the incidence of infection, the coverage of granulation tissue, the time of appearance of neonate epithelium, the times of dressing change, the time of dressing change and the cost of dressing change. There was significant difference between the two groups (P 0.05). [Conclusion: the modified negative pressure therapy can effectively promote the healing of diabetic foot, reduce the clinical workload and reduce the economic burden of patients.
【作者单位】：厦门大学附属第一医院;
【分类号】：R473.5
【正文快照】： 糖尿病足(DF)是发生于糖尿病病人的下肢远端神经异常和不同程度的周围血管病变相关的足部感染溃疡和(或)深层组织破坏[1]。糖尿病足溃疡的治疗周期长,换药工作量大,费用高。负压伤口治疗(im-proved vacuum-assisted closure,VAC)是一种全新的伤口局部处理方法,通过封闭伤口,持

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