首页|胫骨骨膜牵张技术用于治疗糖尿病足的临床疗效观察

胫骨骨膜牵张技术用于治疗糖尿病足的临床疗效观察

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目的 评估胫骨骨膜牵张技术在治疗糖尿病足中的临床疗效.方法 选取 2021 年 9 月至 2023 年 10 月期间龙岩市第一医院收治的25名糖尿病足患者(30个患肢)作为研究对象,随机分为实验组(13例,15个患肢)和对照组(12例,15个患肢).对照组给予常规治疗,实验组在常规治疗的基础上进行胫骨骨膜牵张手术.所有患者均接受为期3个月的随访.比较两组治疗3个月后的足部溃疡愈合率、保肢率,以及治疗前后的疼痛视觉模拟评分(VAS)、患足皮温、趾端血氧饱和度、踝肱指数(ABI)和生活质量(SF-36)评分.结果 实验组的足部溃疡愈合率(100%)和保肢率(93.33%)显著高于对照组(分别为 66.67%和 53.33%,P<0.05).治疗后,实验组在VAS评分、患足皮温、趾端血氧饱和度、ABI和SF-36 各维度评分的改善程度均显著优于对照组(P<0.05).各组接受治疗期间均无严重并发症发生.结论 胫骨骨膜牵张技术能有效提高糖尿病足患者的溃疡愈合率和保肢率,改善局部血液循环,减轻疼痛,提高患者生活质量,是一种较为理想的糖尿病足治疗方法.
Clinical Efficacy of Tibial Periosteum Distraction Technique in the Treatment of Diabetic Foot
Objective To evaluate the clinical efficacy of the tibial periosteum this traction technique in the treatment of diabetic foot.Methods A total of 25 patients with diabetic foot(30 affected limbs)treated in the First Hospital of Longyan from September 2021 to October 2023 were selected as study subjects.They were randomly divided into an experimental group(13 cases,15 affected limbs)and a control group(12 cases,15 affected limbs).The control group received conventional treatment,while the experimental group underwent tibial periosteum traction surgery in addition to conventional treatment.All patients received a 3-month follow-up.The ulcer healing rate,limb salvage rate,visual analog scale(VAS)score for pain,foot skin temperature,toe oxygen saturation,ankle-brachial index(ABI),and quality of life(SF-36)scores were compared between the two groups after 3 months of treatment.Results The ulcer healing rate(100%)and limb salvage rate(93.33%)in the experimental group were significantly higher than those in the control group(66.67%and 53.33%,respectively,P<0.05).After treatment,improvements in the VAS score,foot skin temperature,toe oxygen saturation,ABI,and SF-36 scores in the experimental group were significantly greater than those in the control group(P<0.05).No serious complications occurred during the treatment period in any of the groups.Conclusions The tibial periosteum distraction technique can effectively improve ulcer healing and limb salvage rates in diabetic foot patients,enhance local blood circulation,reduce pain,and improve the quality of life,making it an ideal method for treating diabetic foot.

Diabetic FootTibial Periosteum DistractionClinical EfficacyQuality of Life

陈立、陈双龙、邱少华、李龙建

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龙岩市第一医院骨科,福建龙岩 364000

龙岩市第一医院放射科,福建龙岩 364000

糖尿病足 胫骨骨膜牵张 临床疗效 生活质量

2024

生物医学工程学进展
上海市生物医学工程学会

生物医学工程学进展

影响因子:0.504
ISSN:1674-1242
年,卷(期):2024.45(4)