从MEBO治愈102例糖尿病足浅析创面处理与治疗规范  

Brief Analysis on Wound Management and Treatment Standard of Diabetic Foot Based on the 102 Cases Healed by MEBO

作　　者：王洪生[1] 徐海 李达鹏 杨毅 李碧锦 陈强 陈铮 傅强 黄仲海[9] 张力[9] 李杰辉[9] 覃文喜 杨绍文 

机构地区：[1]北京美宝烧伤创疡研究所,北京100020 [2]来宾市人民医院骨科,广西来宾546100 [3]龙州县中医院骨科,广西崇左532400 [4]北海市中医院外科,广西北海536000 [5]广西江滨医院外科,广西南宁530000 [6]台山市中医院烧伤创疡血管外科,广东台山529200 [7]韶关市第一人民医院烧伤外科,广东韶关512000 [8]蒲城县人民医院外科,陕西渭南715500 [9]广西中医药大学第一临床医学院烧伤创疡血管外科,广西南宁530000 [10]云南文山州中医院骨科,云南文山663000

出　　处：《中国烧伤创疡杂志》2015年第1期17-57,共41页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的探讨以保全肢体、终止截肢为临床治疗终点的Wagner3—5级糖尿病足创面的临床处理与治疗规范。方法以102例Wagner3～5级糖尿病足患者创面采用MEBO＋外科清创术治愈的经验为依据，归纳总结wagner，3～5级糖尿病足创面的临床处理与治疗规范。结果从102例Wagner3～5级糖尿病足创面获得治愈的临床证据充分表明，MEBO＋外科清创术对Wagner3～5级糖尿病足创面的治疗效果显著。结论MEBO＋外科清创术能实现患肢保全、终止截肢的临床治疗终点，叮作为Wagner3—5级糖尿病足创面的临床处理与治疗规范。Objective To investigate the standards of clinical management and treatment of Wagner 3 - 5 diabetic foot wounds with limb salvation and terminating amputation as the end points. Methods Based on the experienee of healing 102 patients with Wagner 3 -5 diabetic foot wounds by using MEBO in combination with surgical debridement, summarize the standards of clinical management and treatment of Wagner 3 - 5 diabetic foot wounds. Results The clinical evidence from the healed 102 cases with Wagner 3 - 5 diabetic foot wounds has sufficiently demonstrated that significant therapeutic effects can be achieved when MEBO in combination with surgical debridement is applied to treat Wagner 3 - 5 diabetic foot wounds. Conclusion MEBO in combination with surgical debridement can be the standard of managing and treating Wag- ner 3 -5 diabetic foot wounds in clinic with its strength of limb salvation and terminating amputation.

关 键 词：湿润烧伤膏 外科清创术 糖尿病足 创面 疗效 规范 

分 类 号：R587.2[医药卫生—内分泌]