负压封闭引流术在糖尿病足治疗中的应用  

Application of Negative Pressure Closed Drainage in Diabetic Foot Treatment

作　　者：黎小燕[1] 曾宪忠[1] 李毅[1] 钟树妹[1] 刘泽洪[1] 习燕华[1] 

机构地区：[1]赣州市人民医院,江西赣州341000

出　　处：《现代医院》2017年第7期1013-1016,共4页Modern Hospitals

摘　　要：目的探讨负压封闭引流术在糖尿病足治疗中的应用效果。方法选取2015年1月—2016年12月期间我院收治的98例糖尿病足患者,根据治疗方法不同将所有患者分为观察组和对照组,每组49例,对照组患者予以常规治疗方法,观察组患者予以负压封闭引流术对糖尿病足患者进行治疗,观察两组患者创面愈合时间、住院时间、住院费用、严重感染、创面愈合情况及生活质量。结果观察组患者创面愈合时间为(35.39±2.40)d、住院时间(38.43±3.21)d、住院费用(2.84±0.31)万与对照组的(46.48±3.47)d、(48.46±4.57)d、(3.79±0.73)万相比较,观察组均显著低于对照组(P<0.05);观察组未出现严重感染患者,创面愈合率为97.96%,显著高于对照组的85.71%,P<0.05;两组患者治疗前生活质量各维度没有显著差异(P>0.05),治疗后两组患者生活质量各维度评分较治疗前均增高明显(P<0.05),且观察组各维度评分均显著高于对照组(P<0.05)。结论负压封闭引流术治疗糖尿病足疗效确切,显著缩短了患者创面恢复时间,减少患者住院时间及严重感染率,显著提高了患者的创面愈合率及生活质量,值得临床的广泛应用。Objective To explore the application of negative pressure closed drainage in the treatment of diabetic foot. Methods A total of 98 patients with diabetic foot were enrolled in this study from January 2015 to December 2016. The patients were divided into observation group and control group according to different treatment methods, with 49 patients in each group The control group was treated with routine therapy and the patients in the observation group were treated with negative pressure and drainage to treat patients with diabetic foot. The two groups were compared in terms of wound healing time, hospitalization time, hospital expenses, severe infection, wound healing and quality of life. Results In the observa-tion group The duration of wound healing was （35. 39 ± 2. 40） days,the hospitalization time （38. 43 ± 3. 21） d, the cost of hospitalization （2. 84 ± 0. 31） and and in the control group they were （46. 48 ± 3. 47 ） d and （48. 46 ± 4. 57 ）,respectively （P 〈 0. 05 ）. The wound healing rate in the observation group was 97. 96% , which was significantly higher than that in the control group （85. 71% , P 〈 0. 05 ）. The wound healing rate was significantly higher in the observation group than in the control group （P 〈 0. 05 ）. There was no significant difference in the quality of life between the two groups before treatment （P 〉0. 05）. The scores of the quality of life of the two groups were significantly higher than those before treatment （P 〈 0. 05 ） , and the scores of the two groups were significantly higher than the control group （P 〈 0. 05 ） . Conclusion The treatment of diabetes mellitus is effective in the treatment of diabetic foot, which shortens the recovery time of patients, re-duces the hospitalization time and the serious infection rate, and significantly improves the wound healing rate and the quality of life. It is worthy of clinical application.

关 键 词：负压封闭引流 糖尿病足 创面愈合 

分 类 号：R587.2[医药卫生—内分泌]