综合护理对小面积糖尿病足部溃疡的效果研究

目的探讨小面积糖尿病足部溃疡的综合护理措施。方法将58例小面积糖尿病足部溃疡患者随机分为2组。综合护理组（综护组）30例采用外科清创＋红外线照射创面＋生长因子（碱性成纤维细胞生长因子和重组人表皮细胞生长因子）＋水胶敷料“安普贴”敷贴的综合护理治疗措施；对照组28例采用0．5％多聚维酮碘液或0．5％呋哺西林液湿敷。临床观察2组患者创面愈合进展情况、平均愈合时间以及创面细菌培养阳性率。结果综护组创面平均愈合时间（29．6±9．4）d，较对照组（39．2±13．5）d显著缩短（P〈0．05），差异有统计学意义。第7天和第14天创面细菌培养阳性例数2组间比较差异有统订学意义（P〈0．05）。结论在常规内科治疗和一般护理措施基础上，外科清创＋红外线照射＋生长因子＋水胶敷料敷贴的综合护理措施对小面积糖尿病足部溃疡具有较好的促进愈合效果。

Effect of comprehensive nursing on small area of diabetic foot ulcer

Objective To study comprehensive nursing meassures for small area of diabetic foot ulcer. Methods A total of 58 patients with small area of diabetic foot ulcer in our department were divided into two groups.The comprehensive nursing group （CN group,30 cases） adopted comprehensive nursing and treatment as follows, surgical debridement,infrared radiation of wound surface,sprinkling of growth factors（bFGF and rhEGF）,covered by hydrocolloid dressing（Algoplaque）.The control group（28 cases） received hydropathic compress with 0.5% povidone iodine or 5% furacillin solution.Wound healing progression,average healing time and the positive rate of wound germiculture of the two groups were observed. Results The average healing time of the CN group was （29.6±9.4）d,which was shorter than that of the control group,（ 39.2±13.5）d, P 〈 0.05. Statistical difference existed in the positive rate of wound germiculture at the 7th day and the 14th day between the two groups （P 〈 0.05）. Conclusions Routine medical treatment and general nursing measures plus surgical debridement,infrared radiation of wound surface,sprinkling of growth factors and hydrocolloid dressing possess facilitative healing effect for small area of diabetic foot ulcer.