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负压封闭引流治疗2型糖尿病慢性溃疡的疗效观察

Clinical Observation on Vacuum Sealing Drainage in the Treatment of Chronic Ulcer of Type 2 Diabetes Mellitus

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【作者】 袁艺嘉徐培龙忠恒张祥明

【Author】 YUAN Yijia;XU Pei;LONG Zhongheng;ZHANG Xiangming;Department of General Surgery, The Third Hospital in Wuhan City;

【机构】 武汉市第三医院普外科

【摘要】 目的分析负压封闭引流治疗2型糖尿病慢性溃疡的疗效。方法选取2013年2月—2016年2月收治的100例2型糖尿病且合并小腿或足慢性溃疡患者作为研究对象,将其分为两组,给予对照组患者传统创面换药治疗,给予观察组患者负压封闭引流治疗,对比两组患者的临床疗效。结果所有患者在治疗过程中均没有明显的和修复创面治疗相关的并发症出现;观察组患者术后皮瓣与植皮成活情况优于对照组,差异具有统计学意义(P<0.05);观察组患者入院到创面达到可行二期手术时间为(25.68±10.02)天,短于对照组的(45.58±12.28)天,差异具有统计学意义(t=8.878 3,P<0.05)。结论负压封闭引流治疗2型糖尿病慢性溃疡的疗效显著。

【Abstract】 Objective To analyze the curative effect of negative pressure closed drainage on chronic type 2 diabetic patients. Methods A total of 100 patients with type 2 diabetes mellitus and chronic leg ulceration admitted to our hospital from February 2013 to February 2016 were selected as the study objects and they were divided into two groups. The treatment of traditional wound dressing was given to the control group. The patients in the observation group were treated with negative pressure closed drainage. The clinical efficacy of two groups of patients was compared. ResultsAll the patients had no obvious complications related to wound healing in the course of treatment. The survival rate of skin flap and skin graft in the observation group was significantly better than that of the control group, the difference was statistically significant(P<0.05). The patients in the observation group were admitted to the wound to achieve The feasible operation time was(25.68±10.02) days, shorter than that of the control group(45.58±12.28) days, the difference was significant(t=8.878 3, P<0.05). Conclusion The curative effect of chronic obstruction of type 2 diabetes treated by negative pressure closed drainage is significant, and there is a wide range of clinical value.

  • 【文献出处】 中国继续医学教育 ,China Continuing Medical Education , 编辑部邮箱 ,2018年12期
  • 【分类号】R587.2;R632.1
  • 【被引频次】1
  • 【下载频次】56
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