超声清创联合湿性疗法在糖尿病足溃疡治疗中的应用

doi:10.3969/j.issn.1005-6483.2021.04.024

摘要/Abstract

摘要： 目的：探讨超声清创联合湿性疗法在糖尿病足溃疡治疗中的应用价值。方法：2019年1月～2020年1月我院诊治的糖尿病足溃疡病人68例，按就诊顺序用随机数字表法将病人随机分入两组，超声清创联合湿性疗法为观察组，传统清创联合湿性疗法为对照组，每组各34例。记录两组病人糖尿病足溃疡伤口愈合情况、伤口局部组织血流灌注情况、伤口愈合时间和换药次数。结果：观察组病人首次治疗后第7天、第14天伤口愈合情况优于对照组[(33.13±3.05 )分vs.（35.19±3.82）分；（21.58±3.63 ）分vs.（28.22±4.75）分，差异有统计学意义（P<0.05)。首次治疗后第14天，观察组病人伤口局部血流灌注情况明显优于对照组[(1.21±0.19 )PU vs.(0.83±0.15）PU]，差异有统计学意义（P<0.05)。观察组和对照组换药次数分别为(12.61±1.44)次和（20.44±2.40），愈合时间分别为（21.29±2.84 ）天和（30.88±3.28）天，差异有统计学意义P<0.05)。结论：超声清创联合湿性疗法治疗糖尿病足溃疡伤口有明显的优势。

关键词: 超声清创, 湿性疗法, 糖尿病足溃疡

Abstract: Objective：To explore the value of ultrasonic debridement combined with moist therapy in the treatment of diabetic foot ulcer.Methods：68 patients with diabetic foot ulcer in our hospital from January 2019 to January 2020 were randomly divided into two groups:the observation group and the control group，there were 34 cases in each group.Ultrasound debridement combined with moist therapy was the observation group,and traditional debridement combined with moist therapy was the control group,34 cases in each group.The wound healing,local tissue perfusion,wound healing time and dressing change times of diabetic foot ulcer in the two groups were recorded and analyzed statistically.Results：The wound healing of the observation group was better than that of the control group on the 7th and 14th day after the first treatment(33.13±3.05 vs.35.19±3.82,P<0.05;21.58±3.63 vs.28.22±4.75,P<0.05).On the 14th day after the first treatment,the local blood perfusion in the observation group was significantly better than that in the control group[(1.21±0.19 )PU vs.(0.83±0.15）PU,P<0.05].The number of dressing changes and healing time in the observation group were significantly shorter than those in the control group[12.61±1.44 vs.20.44±2.40,P<0.05;(21.29±2.84)d vs.(30.88±3.28)d,P<0.05].Conclusion：Ultrasonic debridement combined with moist therapy has obvious advantages over traditional debridement combined with moist therapy in the treatment of diabetic foot ulcer wounds.

Key words: ultrasonic debridement, moist therapy, diabetic foot ulcer

丁文茂, 李岚, 王松山. 超声清创联合湿性疗法在糖尿病足溃疡治疗中的应用[J]. 临床外科杂志, 2021, 29(4): 382-384.

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