胫骨横向骨搬运结合负压引流治疗糖尿病足的临床疗效分析  

Analysis of clinical efficacy of tibial transverse bone transport combined with negative pressure drainage on diabetic foot

作　　者：梁波[1] 陈劲[1] 陈广谋 蔡家尚 陈秋夏[1] 阮国强[1] LIANG Bo;CHEN Jin;CHEN Guang-mou(Zhanjiang Central People’s Hospital,Zhanjiang 524045,China)

机构地区：[1]湛江中心人民医院,524045

出　　处：《中国实用医药》2020年第20期50-52,共3页China Practical Medicine

摘　　要：目的分析胫骨横向骨搬运结合负压引流(VSD)治疗糖尿病足的临床疗效。方法20例糖尿病足患者,均给予胫骨横向骨搬运结合VSD治疗,对比患者治疗前后踝肱指数(ABI)及密歇根神经病变筛查量表(MNSI)评分以及患足功能情况。结果治疗后,患者ABI高于治疗前,足溃疡、足外观、踝反射、踇趾震动觉、尼龙单丝触觉评分均低于治疗前,差异具有统计学意义(P<0.05)。治疗后,患者正常运动功能评分(92.22±2.36)分、生活质量评分(93.13±2.14)分均高于治疗前的(89.31±3.14)、(88.85±3.16)分,差异具有统计学意义(P<0.05)。结论胫骨横向骨搬运结合VSD治疗糖尿病足有着显著的临床疗效,可有效促进患者患肢周围血管及周围神经恢复、加速创面愈合,具有较高的临床使用价值,值得广泛的应用与推广。Objective To analyze the clinical efficacy of tibial transverse bone transport combined with Vacuum sealing drainage(VSD)on diabetic foot.Methods A total of 20 patients with diabetic foot all treated by tibial transverse bone transport combined with VSD.The ankle brachial index(ABI)and Michigan neuropathy screening instrument(MNSI)score and the function of the affected foot were compared before and after treatment.Results After treatment,ABI of patients was higher than that before treatment,and foot ulcers,foot appearance,ankle reflexes,toe vibrations,nylon monofilament tactile score were lower than those before treatment,and the difference was statistically significant(P<0.05).After treatment,the normal motor function score(92.22±2.36)points and quality of life score(93.13±2.14)points of patients were higher than those before treatment(89.31±3.14)and(88.85±3.16)points,and the difference was statistically significant(P<0.05).Conclusion Tibial transverse bone transport combined with VSD showed remarkable clinical efficacy in the treatment of diabetic foot,which can effectively promote the recovery of blood vessels and nerves around the affected limb and accelerate the wound healing.It has high clinical value and is worthy of wide application and promotion.

关 键 词：胫骨横向骨搬运 负压引流 糖尿病足 临床疗效 

分 类 号：R687.3[医药卫生—骨科学]