负压封闭引流技术治疗糖尿病足溃疡的临床效果
摘要
目的探讨负压封闭引流技术治疗糖尿病足溃疡的临床效果。方法选取邵阳学院附属第二医院2016年1月—2017年7月收治的糖尿病足溃疡患者122例,随机分为常规组和试验组,各61例。常规组患者采用常规治疗方法,试验组患者在常规组基础上采用负压封闭引流术进行治疗。比较两组患者的临床效果、创面愈合时间、换药次数、溃疡面积、血糖及治疗满意度。结果试验组患者总有效率高于常规组(P<0.05)。治疗后试验组患者创面愈合时间短于常规组,换药次数少于常规组,溃疡面积小于常规组,血糖水平低于常规组(P<0.05)。试验组患者治疗满意度高于常规组(P<0.05)。结论负压封闭引流术治疗糖尿病足溃疡的临床效果明显,其可有效缓解患者的临床症状,缩小溃疡面积,促进创面快速愈合,提高治疗满意度。
引文
[1]刘群,吴军,罗曼,等.应用负压封闭引流技术治疗糖尿病足溃疡的临床疗效观察[J].临床内科杂志,2013,30(11):765-767.
[2]李自超,王滢,陈莉波,等.负压封闭引流联合内补黄芪汤治疗糖尿病足溃疡临床观察[J].现代中西医结合杂志,2016,25(10):1058-1060.
[3]MORONA J K,BUCKLEY E S,JONES S,et al.Comparison of the clinical effectiveness of different off-loading devices for the treatment of neuropathic foot ulcers in patients with diabetes:A systematic review and meta-analysis[J].Diabetes/Metabolism Research and Reviews,2013,29(3):183-193.
[4]胡建武,任继魁,孙晶洁,等.自体富血小板血浆联合负压封闭引流治疗糖尿病足溃疡的临床观察[J].中华烧伤杂志,2017,33(1):46-48.
[5]陈伟彬,聂运修.超声清创术联合负压封闭引流技术治疗糖尿病足溃疡效果分析[J].白求恩医学杂志,2017,15(2):243-244.
[6]施劭锋,苏广瑞,林日昌,等.超声清创术联合简易负压封闭引流技术在糖尿病足溃疡中的应用[J].白求恩医学杂志,2016,14(2):186-188.
[7]ROMERO-CERECEROO,ZAMILPAA,TORTORIELLO J.Effectiveness and tolerability of a standardized extract from ageratina pichinchensis in patients with diabetic foot ulcer:a randomized,controlled pilot study[J] Planta Med,2015,81(4):272-278.
[8]何孝维.持续负压封闭引流技术治疗糖尿病足溃疡实施优质护理的临床意义[J].中国乡村医药,2017,24(21):65-66.
[9]朱咏瑶,叶衬华,周昊,等.负压封闭引流术在糖尿病足溃疡创面治疗中的作用[J].广州医学院学报,2013,41(4):97-98.
[10]龚磊,黎涛,杨月莲,等.前列地尔联合VSD负压吸引治疗糖尿病足溃疡疗效分析[J].中国临床新医学,2017,10(12):1196-1198.
[11]BEATTIE A M,CAMPBELL R,VEDHARA K.What ever I do it's a lost cause.'The emotional and behavioural experiences of individuals who are ulcer free living with the threat of developing further diabetic foot ulcers:a qualitative interview study[J].Health Expectations,2014,17(3):429-439.
[12]吴妙琼,刘艳虹,罗群芳,等.负压封闭引流术治疗不同严重程度糖尿病足溃疡的临床价值[J].河北医学,2017,23(6):944-948.
[13]王彦,王蓓蓓,赵连礼,等.负压封闭引流治疗Wagner2-3级糖尿病足溃疡的观察及护理[C]//中华护理学会第十届全国糖尿病护理学术交流会议论文集,2013:363-366.
[14]刘彬彬,孙月琴.负压封闭引流技术在糖尿病足溃疡创面中的应用及护理[J].长江大学学报(自科版)医学下旬刊,2013,10(7):70-71,74.
[2]李自超,王滢,陈莉波,等.负压封闭引流联合内补黄芪汤治疗糖尿病足溃疡临床观察[J].现代中西医结合杂志,2016,25(10):1058-1060.
[3]MORONA J K,BUCKLEY E S,JONES S,et al.Comparison of the clinical effectiveness of different off-loading devices for the treatment of neuropathic foot ulcers in patients with diabetes:A systematic review and meta-analysis[J].Diabetes/Metabolism Research and Reviews,2013,29(3):183-193.
[4]胡建武,任继魁,孙晶洁,等.自体富血小板血浆联合负压封闭引流治疗糖尿病足溃疡的临床观察[J].中华烧伤杂志,2017,33(1):46-48.
[5]陈伟彬,聂运修.超声清创术联合负压封闭引流技术治疗糖尿病足溃疡效果分析[J].白求恩医学杂志,2017,15(2):243-244.
[6]施劭锋,苏广瑞,林日昌,等.超声清创术联合简易负压封闭引流技术在糖尿病足溃疡中的应用[J].白求恩医学杂志,2016,14(2):186-188.
[7]ROMERO-CERECEROO,ZAMILPAA,TORTORIELLO J.Effectiveness and tolerability of a standardized extract from ageratina pichinchensis in patients with diabetic foot ulcer:a randomized,controlled pilot study[J] Planta Med,2015,81(4):272-278.
[8]何孝维.持续负压封闭引流技术治疗糖尿病足溃疡实施优质护理的临床意义[J].中国乡村医药,2017,24(21):65-66.
[9]朱咏瑶,叶衬华,周昊,等.负压封闭引流术在糖尿病足溃疡创面治疗中的作用[J].广州医学院学报,2013,41(4):97-98.
[10]龚磊,黎涛,杨月莲,等.前列地尔联合VSD负压吸引治疗糖尿病足溃疡疗效分析[J].中国临床新医学,2017,10(12):1196-1198.
[11]BEATTIE A M,CAMPBELL R,VEDHARA K.What ever I do it's a lost cause.'The emotional and behavioural experiences of individuals who are ulcer free living with the threat of developing further diabetic foot ulcers:a qualitative interview study[J].Health Expectations,2014,17(3):429-439.
[12]吴妙琼,刘艳虹,罗群芳,等.负压封闭引流术治疗不同严重程度糖尿病足溃疡的临床价值[J].河北医学,2017,23(6):944-948.
[13]王彦,王蓓蓓,赵连礼,等.负压封闭引流治疗Wagner2-3级糖尿病足溃疡的观察及护理[C]//中华护理学会第十届全国糖尿病护理学术交流会议论文集,2013:363-366.
[14]刘彬彬,孙月琴.负压封闭引流技术在糖尿病足溃疡创面中的应用及护理[J].长江大学学报(自科版)医学下旬刊,2013,10(7):70-71,74.