湿性愈合疗法联合高压氧治疗糖尿病足溃疡的效果

目的 探讨湿性愈合疗法联合高压氧治疗糖尿病足溃疡的应用.方法 通过在临床实践中以传统换药为基础,再使用湿性愈合疗法联合高压氧治疗糖尿病足溃疡,评价患者对该疗法的满意度、切口愈合率、愈合时间、换药次数,并与单独使用传统换药相比较,进行两者之间的差异分析.结果 实验组显效18例（85.7％）,有效3例（14.3％）,对照组显效10例（47.6％）,有效6例（28.6％）,无效5例（23.8％）,两组比较差异有统计学意义（x2=5.68,P＜0.05）；愈合时间实验组需要（27.8±3.75）d,对照组需要（38.6±3.81）d,两组比较差异有统计学意义（t=9.2,P＜0.05）；换药次数实验组需要（15.6±3.45）次,对照组需要（24.8±3.62）次,两组比较差异有统计学意义（t=8.4,P＜0.05）；患者满意度实验组为95.4％优于对照组的68.9％,两组比较差异有统计学意义（t=5.15,P＜0.05）.结论 采用以传统换药为基础,再使用湿性愈合疗法联合高压氧治疗糖尿病足溃疡能明显提高创面愈合率,减少换药次数,减轻护士工作量,其结果可为合理应用该疗法促进糖尿病足溃疡愈合又可减少患者的痛苦提供临床依据.

Effect of moist healing therapy combined with hyperbaric oxygen in the treatment of diabetic foot ulcers

Objective To investigate the clinical application of moist healing therapy combined with hyperbaric oxygen in the treatment of diabetic foot ulcers.Methods The diabetic foot ulcers were treated by moist healing therapy combined with hyperbaric oxygen based on the traditional dressing in the clinical practice in the experimental group,and the control group received the traditional dressing alone.The patient satisfaction,the rate of wound healing,the healing time and the dressing change times were evaluated and compared,and the differences were analyzed between the two groups.Results The obvious effective and effective rates of wound healing were respectively 85.7％ （18 cases） and 14.3％ （3 cases） in the experimental group,and 47.6％ （10 cases）,28.6％ （6 cases） in the control group,and the invalid rate of wound healing was 23.8％ （5 cases） in the control group,and the difference was statistically significant （x2 =5.68,P ＜ 0.05）.The healing time was （27.8 ± 3.75） d in the experimental group,and （38.6 ± 3.81） d in the control group,and the difference was statistically significant （t =9.2,P ＜ 0.05）.The number of dressing changes was （15.6 ± 3.45） in the experimental group,and （24.8 ± 3.62） in the control group,and the difference was statistically significant （t =8.4,P ＜ 0.05）.The patient satisfaction was 95.4％ in the experimental group,and higher than 68.9％ in the control group,and difference was statistically significant （t =5.15,P ＜ 0.05）.The total effective rate was 100％ in the experimental group,and 76％ in the control group,and the difference was statistically significant （P ＜ 0.05）.Conclusions The moist healing therapy combined with hyperbaric oxygen based on the traditional dressing for diabetic foot ulcer significantly improve the rate of wound healing,reduce the number of dressing changes and alleviate the workload of nurses.The experimental results provide the clinical evidence for reasonable application of the therapy to promote diabetic foot ulcers healing and alleviate the suffering of patients.