超声清创刀联合负压创面治疗糖尿病足溃疡的临床效果

发布时间：2018-03-02 07:05

本文关键词： 糖尿病足溃疡超声清创刀负压创面　出处：《重庆医学》2016年35期 　论文类型：期刊论文

【摘要】：目的探讨使用超声清创刀联合负压创面治疗糖尿病足溃疡的临床疗效。方法选取2014年6月至2015年6月在该院接受治疗的70例糖尿病足溃疡患者,根据随机数字表法将其分为观察组和对照组,各35例。对照组给予常规清创联合负压创面治疗,观察组采用超声清创刀联合负压创面治疗,比较两组患者的治疗效果。结果观察组治疗总有效率(94.28%)高于对照组(62.86%),差异有统计学意义(P0.05)。术前两组血糖及糖化血红蛋白(HbA1c)水平比较,差异均无统计学意义(P0.05);治疗后,两组患者术后血糖及HbA1c水平均较术前降低,且观察组血糖及HbA1c水平均低于对照组,差异均有统计学意义(P0.05)。与对照组比较,治疗后观察组患者溃疡面积减小,肉芽覆盖率及溃疡复发率降低,差异均有统计学意义(P0.05);但两组截肢率及病死率比较,差异均无统计学意义(P0.05)。结论应用超声清创刀联合负压创面治疗糖尿病足溃疡能明显提高临床疗效,减小患者足部创面溃疡面积,增加肉芽覆盖率,有效降低溃疡复发率,提高患者的生活质量。
[Abstract]:Objective to investigate the clinical effect of a clear knife combined with negative pressure wound treatment of diabetic foot ulcer with ultrasound. Methods 70 cases of diabetic foot ulcer patients from June 2014 to June 2015 in our hospital for treatment, then randomly divided into observation group and control group, 35 cases in each group. The control group was given routine debridement and wound treatment the negative pressure, the observation group with ultrasonic debridement knife combined with negative pressure wound therapy, compared two groups of patients. Results the total effective rate of the observation group (94.28%) was higher than the control group (62.86%), the difference was statistically significant (P0.05). The two groups preoperative blood glucose and glycosylated hemoglobin (HbA1c) level, there was no difference statistical significance (P0.05); after treatment, the two groups of patients with blood glucose and HbA1c levels were decreased, and the observation group blood glucose and HbA1c levels were lower than the control group, the differences were statistically significant (P0.05) compared with control group. After treatment, patients in the observation group, the ulcer area decreases, the coverage rate and the recurrence rate of ulcer granulation decreased, the differences were statistically significant (P0.05); but the amputation rate and mortality rate of two groups, there were no significant differences (P0.05). Conclusion the application of ultrasonic debridement knife combined with negative pressure wound treatment of diabetic foot ulcer can significantly improve the clinical curative effect, reduce the patient foot ulcer area, increase granulation coverage, reduce the recurrence rate of ulcer, improve the quality of life of patients.

【作者单位】：河北省保定市第一医院血管外科;河北省保定市第一医院介入医学科;
【分类号】：R587.2

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