首页|中医外治法联合创面负压封闭引流在糖尿病足溃疡治疗中的应用效果

中医外治法联合创面负压封闭引流在糖尿病足溃疡治疗中的应用效果

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目的 探讨中医外治法联合创面负压封闭引流(VSD)治疗在糖尿病足溃疡患者中的应用效果.方法 选取2022年1月至2023年7月淄博市中医医院收治的糖尿病足溃疡患者80例,按照随机数表法分为观察组(接受中医外治法联合创面VSD治疗,40例)和对照组(仅接受创面VSD治疗,40例).比较两组创面愈合情况、生活质量及并发症发生情况.结果 观察组出现明显肉芽时间为(8.31±3.14)d、创面愈合时间为(30.13±4.32)d,短于对照组的(11.52±3.17)、(42.56±6.87)d,且观察组创面缩小面积为(46.18±6.29)%,多于对照组的(37.27±4.36)%,差异有统计学意义(P<0.05).观察组生活质量各维度评分以及总分高于对照组,差异有统计学意义(P<0.05).观察组并发症总发生率为5.00%(2/40),低于对照组的25.00%(10/40),差异有统计学意义(P<0.05).结论 中医外治法联合创面VSD治疗在糖尿病足溃疡患者中的应用效果较好,可以有效改善创面愈合情况,提高生活质量,且安全性较高.
Application effect of external treatment of traditional Chinese medicine combined with wound vacuum sealing drainage in the treatment of patients with diabetic foot ulcer
Objective To investigate the application effect of external treatment of traditional Chinese medicine combined with wound vacuum sealing drainage(VSD)in the treatment of patients with diabetic foot ulcer.Methods A total of 80 patients with diabetic foot ulcer admitted to Zibo Hospital of Traditional Chinese Medicine from January 2022 to July 2023 were selected,and they were divided into the observation group(n=40)and the control group(n=40)according to the random number table method.The observation group was treated with external treatment of traditional Chinese medicine combined with wound VSD,while the control group was treated with wound VSD only.The wound healing,quality of life and incidence of complications were compared between the two groups.Results The obvious granulation time and wound healing time in the observation group were(8.31±3.14)days and(30.13±4.32)days,shorter than(11.52±3.17)days and(42.56±6.87)days in the control group,and the reduction in wound area in the observation group was(46.18±6.29)%,higher than(37.27±4.36)%in the control group,with statistically significant differences(P<0.05).The quality of life scores of various dimensions and total scores in the observation group higher than those in the control group,with statistically significant differences(P<0.05).The total incidence of complications in the observation group was 5.00%(2/40),lower than 25.00%(10/40)in the control group,with statistically significant difference(P<0.05).Conclusion External treatment of traditional Chinese medicine combined with wound VSD in the treatment of patients with diabetic foot ulcer has a relatively good application effect,which can effectively improve wound healing and improve the quality of life,and has a relatively high safety.

External treatment of traditional Chinese medicineWound vacuum sealing drainageDiabetic foot ulcerApplication effect

崔云龙、胡淑琴

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山东省淄博市中医医院外科,山东淄博 255300

山东省淄博市中医医院消化内科,山东淄博 255300

中医外治法 创面负压封闭引流 糖尿病足溃疡 应用效果

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(15)