王迅 呂靜丹

[摘要] 目的 分析糖尿病足實(shí)施持續(xù)封閉式負(fù)壓引流（VSD）治療的效果。方法 取2018年1月—2019年1月期間在該院治療的60例糖尿病足患者隨機(jī)分組進(jìn)行研究。對(duì)照組30例，給予普通包扎換藥治療，觀察組30例，給予持續(xù)封閉式負(fù)壓引流治療，比較兩組的臨床治療效果。結(jié)果 治療前，兩組的創(chuàng)面平均面積和空腹血糖比較差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），治療后，兩組的創(chuàng)面平均面積和空腹血糖均明顯降低，觀察組低于對(duì)照組，觀察組的換藥次數(shù)少于對(duì)照組，創(chuàng)面愈合時(shí)間短于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05），對(duì)照組治療有效率為70.00%，觀察組為93.33%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 持續(xù)封閉式負(fù)壓引流應(yīng)用于糖尿病足的治療中，有效減少換藥次數(shù)，縮短創(chuàng)面愈合時(shí)間，促進(jìn)創(chuàng)口恢復(fù)，降低了截肢風(fēng)險(xiǎn)，具有重要的臨床研究?jī)r(jià)值。

[關(guān)鍵詞] 糖尿病足;治療;封閉式負(fù)壓引流

[中圖分類號(hào)] R587.2 ? ? ? ? ?[文獻(xiàn)標(biāo)識(shí)碼] A ? ? ? ? ?[文章編號(hào)] 1672-4062（2020）06（a）-0188-03

[Abstract] Objective To analyze the effect of continuous closed negative pressure drainage （VSD） treatment on diabetic foot. Methods Sixty patients with diabetic foot treated in the hospital from January 2018 to January 2019 were randomly divided into two groups for study. 30 cases in the control group were given ordinary dressing and dressing treatment， and 30 cases in the observation group were given continuous closed negative pressure drainage treatment， compare the clinical treatment effect of the two groups. Results Before treatment， there was no statistically significant difference between the average wound area and fasting blood glucose of the two groups（P>0.05）. After treatment， the average wound area and fasting blood glucose of the two groups were significantly reduced. The number of dressing changes was less than the control group， the wound healing time was shorter than the control group， the difference was statistically significant（P<0.05）， the treatment effective rate of the control group was 70.00%， the observation group was 93.33%， the difference was statistically significant（P<0.05）. Conclusion Continuous closed negative pressure drainage is used in the treatment of diabetic foot， which can effectively reduce the number of dressing changes， shorten the wound healing time， promote wound recovery， and reduce the risk of amputation.

[Key words] Diabetic foot; Treatment; Closed negative pressure drainage

隨著我國(guó)進(jìn)入人口老齡化社會(huì)，加上飲食結(jié)構(gòu)改變等因素，糖尿病發(fā)病率逐年增多，引起社會(huì)各界的廣泛關(guān)注。糖尿病是一種慢性全身性疾病，隨著病情的發(fā)展，患者機(jī)體處于長(zhǎng)期高血糖狀態(tài)可引發(fā)多種并發(fā)癥，如糖尿病腎病、糖尿病足等。糖尿病足最明顯的癥狀為足部潰瘍，其特征為反復(fù)感染、難以治愈、截肢率高，嚴(yán)重危害患者的生命健康。治療糖尿病足，主要是對(duì)創(chuàng)面進(jìn)行清洗包扎換藥方式，但是療效不佳，近幾年，經(jīng)過(guò)多種嘗試創(chuàng)新，負(fù)壓封閉引流技術(shù)（VSD）是新型的治療方式，主要是把敷料覆蓋在創(chuàng)面上，用半透膜進(jìn)行密封，再連接負(fù)壓動(dòng)力源，經(jīng)引流管把炎性滲出液和壞死組織吸出，可減少換藥次數(shù)，防止發(fā)生感染，促進(jìn)新鮮肉芽組織生長(zhǎng)，取得顯著的治療效果[1]。該文選取2018年1月—2019年1月期間60例患者，采用該方法對(duì)糖尿病足治療效果進(jìn)行研究，現(xiàn)報(bào)道如下。

1 ?資料與方法

1.1 ?一般資料

研究對(duì)象：60例糖尿病足患者。對(duì)照組30例患者，男性18例，女性12例;年齡61～80歲，平均年齡（70.53±8.44）歲;糖尿病病程4.5～16年，平均為（10.13±3.09）年。觀察組30例，女性13例，男性17例;最小年齡59歲，最大年齡82歲，平均為（71.18±8.53）歲;糖尿病病程5～15.5年，平均為（10.24±3.11）年。兩組患者在年齡、病程等基本個(gè)人資料方面比較差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）。具有可比性。