封闭式负压引流在糖尿病足治疗中的效果观察及对并发症发生率的影响(1)
【摘要】 目的：分析封闭式负压引流在糖尿病足治疗中的临床效果及对并发症发生率的影响。方法：将2018年1月-2019年5月于笔者所在医院进行治疗的糖尿病足患者纳入试验对象，抽取100例。按照不同的治疗方式将试验对象分为对照组和应用组，每组50例。给予对照组常规清创手术，辅以生理盐水擦洗治疗，应用组在生理盐水擦洗基础上，加用封闭式负压引流治疗，观察对比两组创面痊愈所费时间、治疗有效率及并发症发生情况。结果：应用组创面痊愈所费时间短于对照组(P<0.05);应用组治疗总有效率高于对照组(P<0.05);应用组并发症发生率低于对照组(P<0.05)。结论：对糖尿病足患者实施封闭式负压引流治疗，具有较为显著的临床效果，能够有效缩短创面的恢复时间，有利于提高治疗有效率，并能够有效降低并发症发生率，值得在临床上推广和应用。
【关键词】 封闭式负压引流 糖尿病足 并发症
doi：10.14033/j.cnki.cfmr.2020.26.049 文献标识码 B 文章编号 1674-6805(2020)26-0-02
The Effect of Vacuum Sealing Drainage in the Treatment of Diabetic Foot and the Influence of Complication Rate/CHEN Qiaodan， SU Shaoqing， ZHAN Yanqing， CHEN Limei， CHEN Dongrong. //Chinese and Foreign Medical Research， 2020， 18(26)： -129
[Abstract] Objective： To analyze the clinical effect of vacuum sealing drainage in the treatment of diabetic foot and its influence on complication rate. Method： A total of 100 patients with diabetic foot who were treated in our hospital from January 2018 to May 2019 were selected. According to different treatment methods， the subjects were divided into the control group and the application group， 50 cases in each group. The patients in the control group were treated with routine debridement and saline scrubbing， and the patients in the application group were treated with vacuum sealing drainage on the basis of saline scrubbing. The time of wound healing， the effective rate of treatment and the complications were observed and compared between the two groups. Result： The time of wound healing in the application group was shorter than that in the control group (P<0.05). The total effective rate of treatment in the application group was higher than that in the control group (P<0.05)， and the complication rate in the application group was lower than that in the control group (P<0.05). Conclusion： The application of vacuum sealing drainage in patients with diabetic foot has a significant clinical effect， can effectively shorten the recovery time of patients’ wound surface， is conducive to improving the effective rate of treatment， and can effectively reduce the incidence of complications， it is worth popularizing and applying in clinic.
[Key words] Vacuum sealing drainage Diabetic foot Complication
First-author’s address： Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine， Fuzhou 350004， China
糖尿病是較为常见的慢性疾病，其高发人群为中老年人群。根据权威报告显示，我国患糖尿病的人数呈逐年递增趋势，并且出现年轻化趋势。糖尿病足是糖尿病较为明显的临床症状，其表现为足部溃疡、感染等现象。该疾病具有治疗难度大、治疗周期长、反复性高等特点，给患者日常生活和工作带来了较为明显的消极影响。糖尿病足如若不及时进行治疗，很容易造成足部组织损坏、残疾等严重后果。临床上治疗糖尿病足主要以清创手术、植皮手术为主，但加大了感染的概率，且给患者带来了一定程度的经济负担。封闭式负压引流作为新型治疗方式，具有促进细胞再生、降低感染概率等优势，其日益受到医院和患者青睐。因此，本文主要分析封闭式负压引流在糖尿病足治疗中的临床效果及对并发症发生率的影响，并汇报如下。, http://www.100md.com(陈巧丹 苏少清 詹艳青 陈丽妹 陈冬荣)
【关键词】 封闭式负压引流 糖尿病足 并发症
doi：10.14033/j.cnki.cfmr.2020.26.049 文献标识码 B 文章编号 1674-6805(2020)26-0-02
The Effect of Vacuum Sealing Drainage in the Treatment of Diabetic Foot and the Influence of Complication Rate/CHEN Qiaodan， SU Shaoqing， ZHAN Yanqing， CHEN Limei， CHEN Dongrong. //Chinese and Foreign Medical Research， 2020， 18(26)： -129
[Abstract] Objective： To analyze the clinical effect of vacuum sealing drainage in the treatment of diabetic foot and its influence on complication rate. Method： A total of 100 patients with diabetic foot who were treated in our hospital from January 2018 to May 2019 were selected. According to different treatment methods， the subjects were divided into the control group and the application group， 50 cases in each group. The patients in the control group were treated with routine debridement and saline scrubbing， and the patients in the application group were treated with vacuum sealing drainage on the basis of saline scrubbing. The time of wound healing， the effective rate of treatment and the complications were observed and compared between the two groups. Result： The time of wound healing in the application group was shorter than that in the control group (P<0.05). The total effective rate of treatment in the application group was higher than that in the control group (P<0.05)， and the complication rate in the application group was lower than that in the control group (P<0.05). Conclusion： The application of vacuum sealing drainage in patients with diabetic foot has a significant clinical effect， can effectively shorten the recovery time of patients’ wound surface， is conducive to improving the effective rate of treatment， and can effectively reduce the incidence of complications， it is worth popularizing and applying in clinic.
[Key words] Vacuum sealing drainage Diabetic foot Complication
First-author’s address： Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine， Fuzhou 350004， China
糖尿病是較为常见的慢性疾病，其高发人群为中老年人群。根据权威报告显示，我国患糖尿病的人数呈逐年递增趋势，并且出现年轻化趋势。糖尿病足是糖尿病较为明显的临床症状，其表现为足部溃疡、感染等现象。该疾病具有治疗难度大、治疗周期长、反复性高等特点，给患者日常生活和工作带来了较为明显的消极影响。糖尿病足如若不及时进行治疗，很容易造成足部组织损坏、残疾等严重后果。临床上治疗糖尿病足主要以清创手术、植皮手术为主，但加大了感染的概率，且给患者带来了一定程度的经济负担。封闭式负压引流作为新型治疗方式，具有促进细胞再生、降低感染概率等优势，其日益受到医院和患者青睐。因此，本文主要分析封闭式负压引流在糖尿病足治疗中的临床效果及对并发症发生率的影响，并汇报如下。, http://www.100md.com(陈巧丹 苏少清 詹艳青 陈丽妹 陈冬荣)