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多功能超声清创机在糖尿病足溃疡中的临床应用

Clinical Application of Multifunctional Ultrasonic Debridement Machine in Diabetes Foot Ulcer

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目的 分析糖尿病足溃疡患者应用多功能超声清创机的临床效果.方法 回顾性选取2022年3月—2024年3月贵州省六盘水市人民医院收治的84例糖尿病足溃疡患者的临床资料,根据治疗方式不同分为对照组和观察组,各42例.对照组实施机械外科清创处理,观察组实施多功能超声清创机处理,比较两组临床疗效、临床指标(细菌清除率、住院时间、换药次数)、创面愈合时间和剩余溃疡面积、血清炎症指标[超敏C反应蛋白(hypersensitive C-reactive protein,hs-CRP)、降钙素原(procalcitonin,PCT)]水平.结果 观察组患者临床疗效高于对照组,差异有统计学意义(P<0.05).治疗前,两组hs-CRP、PCT水平比较,差异无统计学意义(P均>0.05);治疗后,观察组hs-CRP、PCT水平低于对照组,差异有统计学意义(P均<0.05).观察组住院时间、换药次数少于对照组,细菌清除率高于对照组,创面愈合时间短于对照组,剩余溃疡面积小于对照组,差异有统计学意义(P均<0.05).结论 糖尿病足溃疡患者采用多功能超声清创机处理,能够提升患者临床疗效,提高溃疡愈合率,缩短痊愈时间,临床应用价值较高.
Objective To analyze the clinical effect of multifunctional ultrasonic debridement machine in patients with diabetes foot ulcer.Methods The clinical data of 84 patients with diabetic foot ulcer admitted to the People's Hospital of Liupanshui in Guizhou Province from March 2022 to March 2024 were retrospectively selected.According to different treatment methods,they were divided into control group and observation group,with 42 cases in each group.The control group was treated with mechanical surgical debridement,and the observation group was treated with multifunctional ultrasonic debridement machine.The clinical efficacy,clinical indicators(bacterial clearance rate,hospitalization time,number of dressing changes),wound healing time and residual ulcer area,serum inflamma-tory indicators[hypersensitive C-reactive protein(hs-CRP),procalcitonin(PCT)]levels were compared between the two groups.Results Clinical effect observation group of patients is higher than the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no statistically significant differences in the levels of hs-CRP and PCT between the two groups(both P>0.05).After treatment,the levels of hs-CRP and PCT in the ob-servation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The hospitalization time and dressing change times of the observation group were less than those of the control group,the bacterial clearance rate was higher than that of the control group,the wound healing time was shorter than that of the control group,and the remaining ulcer area was samller than that of the control group,and the differences were statistically significant(all P<0.05).Conclusion Multifunctional ultrasonic debridement can improve the clinical efficacy of patients with diabetes foot ulcers.The ulcer healing rate is significantly improved,the recovery time is sig-nificantly shortened,and the clinical application value is high.

Multifunctional ultrasound debridementDiabetes foot ulcerApplication value

王信、梅葵

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贵州省六盘水市人民医院内分泌科,贵州 六盘水 553000

多功能超声清创 糖尿病足溃疡 应用价值

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(10)