河北医学2017，Vol.23Issue(6)：944-948,5.DOI:10.3969/j.issn.1006-6233.2017.06.019
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
Clinical Value of Vacuum Sealing Drainage in the Treatment of Diabetic Foot Ulcer with Different Severity
摘要
Abstract
Objective:To investigate the clinical value of vacuum sealing drainage (VSD) in different severity of diabetic foot ulcer (DFU) by randomized controlled study.Methods: 40 cases of patients selected Wagner 2~4 grade of DFU were randomly divided into treatment group and control group, each of 20 cases.The treatment group was treated with VSD after debridement;the control group created by the method of wet dressing;4 weeks of observation, to compare the two methods of different severity of DFU clinical effect.Results: The number of days in hospital, the number of dressing changes and the number of times of dressing change and cure time were significantly shorter in the observation group than in the control group, the difference was statistically significant (P < 0.05).The total effective rate of the observation group was 100.0%, which was significantly higher than that of the control group of 80.0%, the difference was statistically significant (P < 0.05).Conclusion:DFU using (VSD) basically to avoid major amputation and achieve guaranteed toe salvage and to retain the ability of action;VSD surgery treatment at all different severity of DFU effect is significant, hospitalization time and frequency of changing dressings reduce, and the total cost of health care has no advantage.关键词
负压封闭引流术/糖尿病足溃疡/截肢/医疗费用Key words
Vacuum sealing drainage (VSD)/Diabetic foot ulcer (DFU)/Amputation/Medical expenses引用本文复制引用
吴妙琼,刘艳虹,罗群芳,陈月柳,龚丽荣,劳伟强,冯绮玲..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):944-948,5.基金项目
广东省江门市科技攻关计划项目,(编号:2012002) （编号:2012002）
