糖尿病合并骶尾部褥疮治疗方法的探讨  

A Retrospective Analysis on Therapy of Sacrococcygeal Bedsores in Patients with Diabetes

作　　者：朱斌[1] 朱家源[1] 李新强[2] 

机构地区：[1]中山医科大学第一附属医院烧伤科,广州510080 [2]深圳市宝安人民医院烧伤科,广东518130

出　　处：《广州医学院学报》2001年第3期67-68,共2页Academic Journal of Guangzhou Medical College

摘　　要：目的 :总结糖尿病合并骶尾部褥疮的较为有效的治疗方案。方法 :回顾了近 5年来收治的 32例型糖尿病合并骶尾部褥疮的病人的住院治疗经过 ,对入院时、入院治疗后的病人血糖水平、入院时褥疮的大小 ,以及对经不同处理 (手术及非手术 )的褥疮的愈合过程进行分析。结果 :32例病人 ,入院后血糖均控制满意。 13例进行了手术治疗 ,均采用局部皮瓣转移术 ,其中 2例进行了局部肌皮瓣转移。结果均痊愈 ;19例病人采取非手术治疗 ,仅 3例自愈 ,且有 1例于 10天后复发。手术病例住院时间较非住院病人为短。结论 :对糖尿病合并骶尾部褥疮的病例的治疗 ,以局部皮瓣转移手术治疗为佳。术前后均应控制血糖水平。Objective:To summarize the therapy for sacrococcygeal bedsores in patients with diabetes.Methods:32 cases of typeⅡdiabetes complicated with sacrococcygeal bedsores were included in a retrospective analysis.Data including blood glucose levels,size of bedsores,treating methods and curative effects were analyzed.Results:Blood glucose levels of all patients were satisfactorily controlled.13 cases received the operations of flap transfer and the wounds were healed.19 cases did not received operations and only 3 of them were self healed.The period of hospitalization was shorter in patients received the operations.Conclusion:Flap transfer is an ideal therapy for sacrococcygeal bedsores in patients with diabetes.

关 键 词：糖尿病 褥疮 皮瓣转移式 血糖控制 创面处理 

分 类 号：R587.1[医药卫生—内分泌] R632.1[医药卫生—内科学]