负压封闭引流技术治疗糖尿病足慢性创面的疗效分析  

Analysis of the efficacy of vacuum sealing drainage on chronic wounds of diabetic foot

作　　者：刘扬 徐昆 LIU Yang;XU Kun(Dalian Aerospace Hospital,Dalian 116021,China)

机构地区：[1]大连航天医院,116021 [2]大化集团有限责任公司医院,116031

出　　处：《中国实用医药》2021年第7期56-58,共3页China Practical Medicine

摘　　要：目的分析针对糖尿病足慢性创面采用负压封闭引流技术(VSD)治疗的疗效。方法 72例糖尿病足慢性疮面患者,依据随机化分组法分为甲组与乙组,各36例。甲组采取常规治疗方法 ,乙组在甲组基础上采取VSD进行治疗。比较两组创面溃疡面积、脓性分泌物的发生情况。结果治疗后,乙组创面溃疡面积(1.03±0.29)cm2小于甲组的(5.72±0.86)cm2,差异有统计学意义(P<0.05)。治疗后,乙组患者脓性分泌物发生率为11.11%,低于甲组的47.22%,差异有统计学意义(P<0.05)。结论针对存在慢性创面的糖尿病足患者采取VSD进行治疗,不仅可以降低患者创面脓性分泌物发生率,还可以促进足慢性创面的修复,使溃疡面积得以缩小,利于提高治疗效果,该方法值得临床推广及应用。Objective To analyze the efficacy of vacuum sealing drainage(VSD) on chronic wounds of diabetic foot. Methods A total of 72 patients with chronic wounds of diabetic foot were randomly divided into group A and group B, with 36 cases in each group. Group A was treated with conventional method, and the group B was treated with VSD based on group A. The wound ulcer area and the occurrence of purulent discharge were compared between the two groups. Results After treatment, the wound ulcer area(1.03±0.29) cm2 of group B was smaller than(5.72±0.86) cm2 of group A, and the difference was statistically significant(P<0.05). After treatment, the incidence of purulent discharge of group B was 11.11%, which was lower than 47.22% of group A, and the difference was statistically significant(P<0.05). Conclusion VSD treatment for diabetic foot patients with chronic wounds can not only reduce the incidence of purulent secretions, but also promote the repair of chronic foot wounds, reduce the area of ulcers, and improve the therapeutic effect. This method is worthy of clinical promotion and application.

关 键 词：糖尿病足 负压封闭引流技术 慢性创面 治疗 

分 类 号：R587.2[医药卫生—内分泌] R658.3[医药卫生—内科学]