【摘要】：目的探討負壓封閉引流技術(shù)對糖尿病足再發(fā)潰瘍的療效,為臨床治療提供參考依據(jù)。方法收集醫(yī)院2012年3月-2016年1月糖尿病足患者123例,其中,初發(fā)潰瘍組57例,再發(fā)潰瘍組66例,兩組均接受負壓封閉引流技術(shù)治療,治療3~13周后觀察其創(chuàng)面愈合情況,對比兩組療效。結(jié)果糖尿病足初發(fā)組治愈率為36.84%,再發(fā)組治愈率為19.70%,兩組治愈率的差異有統(tǒng)計學(xué)意義(P0.05);糖尿病足初發(fā)組無效率為7.02%,糖尿病足再發(fā)組無效率為21.21%,兩組無效率的差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論負壓封閉引流技術(shù)對糖尿病足再發(fā)潰瘍的療效較初發(fā)潰瘍差,可能與再發(fā)組糖尿病病程長、血糖控制差、外周動脈疾病發(fā)生率高、混合感染率高等相關(guān)。
[Abstract]:Objective to investigate the effect of negative pressure sealing drainage on recurrent diabetic foot ulcer and provide reference for clinical treatment. Methods 123 patients with diabetic foot were collected from March 2012 to January 2016 in our hospital. Among them, 57 cases were primary ulcer group and 66 cases were recurrent ulcer group. Both groups were treated with negative pressure blocking drainage technique, and the wound healing was observed after 3weeks of treatment. The curative effect was compared between the two groups. Results the cure rate of the first diabetic foot group was 36.84 and that of the recurrent group was 19.70. The difference between the two groups was statistically significant (P0.05). The inefficiency rate of diabetic foot group was 7.02 and that of diabetic foot recurrence group was 21.21. The difference between the two groups was statistically significant (P0.05). Conclusion the efficacy of negative pressure blocking drainage in treating recurrent diabetic foot ulcers is worse than that of primary ulcer, which may be related to the long course of diabetes mellitus, poor control of blood glucose, high incidence of peripheral artery disease and high mixed infection rate in recurrent diabetic foot.
【作者單位】： 鄭州大學(xué)第一附屬醫(yī)院外科門診;
【分類號】：R587.2

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