糖尿病足溃疡外科治疗效果比较分析

目的 比较分析常规治疗、康舒灵治疗与持续负压封闭引流（VSD）治疗对糖尿病足部溃疡外科治疗的效果.方法 纳入60例因糖尿病足部溃疡行外科治疗的患者,将其随机分为3组,每组各为20例患者.随访比较3组患者溃疡体积缩小程度、换药次数、敷料粘连、可接受程度、愈合时间及治愈率.结果 在开始治疗后的前4周,康舒灵治疗组患者伤口体积平均缩小率高于常规外科治疗组,VSD治疗组采用VSD治疗7~10 d后,其换药次数、可接受程度、肉芽生长新鲜情况、愈合率及功能恢复程度均优于其他两组（P＜0.05）,差异有统计学意义.结论 VSD治疗糖尿病足部溃疡效果确切,患者可接受程度好,治疗时间短,愈合率高,对于糖尿病足部溃疡是一种很好的治疗手段.

Comparative analysis of the Therapeutic Effect of Surgical Means in Patients with Diabetic Foot Ulcer

Objective To compare and analyze the therapeutic effect among the vacuum sealing drainage （VSD）, Kangsuning＇s serial dressing and conventional gauze for patients with diabetic foot ulcer. Methods 60 patients with diabetic foot ulcer who underwent dressing change were included and randomly divided into 3 groups. The observation items included the reduction of wound area, number of dressing, acceptability of patients,wound healing time and outcome of treatment （ healing rate）. Results Significant difference in the reduction of wounded volume was observed between the 2 groups in the 4 weeks of observation, while the patients in the Kangsuning＇ group had less dressing changes, and fewer dressing adhesion report. The acceptability of dressing change was remarked as better for the Kangsuning＇ group by included patients. Among the surgical means, VSD stands out （ P 〈 0.05 ）, with statistical significance. Conclusion The VSD is able to reduce the time of wound healing significantly, increase the healing rate, and shorten the hospitalization period. It＇s an effective method for the treatment of diabetic foot ulcer.