摘要
目的观察和分析糖尿病足坏疽患者联合应用负压吸引术及去腐生肌汤治疗的效果。方法选取2022年1月—2023年4月在长春市人民医院进行治疗的糖尿病足坏疽患者102例,根据其治疗手段不同分成两组,各51例,对照组患者采用负压吸引术,观察组患者采用负压吸引术联合祛腐生肌汤治疗,比较两组临床疗效、创面愈合时间、炎性因子水平、局部体征积分改善情况、踝肱指数与足背动脉血流量改善情况。结果观察组治疗总有效率明显比对照组高,观察组创面愈合时间明显较对照组短,差异有统计学意义(P<0.05)。治疗后观察组各项炎性因子水平、局部体征积分均较对照组低,观察组踝骨指数及足背动脉血流量均高于对照组,差异有统计学意义(P<0.05)。结论糖尿病足坏疽患者联合应用负压吸引术及去腐生肌汤治疗能够提升临床疗效、促进创面愈合,而且还能够取得理想的抗炎效果。
Objective To observe and analyze the effect of the combined application of negative pressure suction and Qufu Shengji decoction in the treatment of patients with diabetic foot gangrene.Methods A total of 102 diabetic foot gangrene patients treated in Changchun People's Hospital from January 2022 to April 2023 were selected and divided into two groups according to different treatment methods,with 51 cases in each group.The control group was treated with negative pressure aspiration,while the observation group was treated with negative pressure aspiration combined with Qu Fu Shengji decoction.The clinical efficacy,wound healing time,inflammatory factor level,local sign score im-provement,ankle-brachial index and dorsal foot arterial blood flow improvement were compared between the two groups.Results The total effective rate of the observation group was significantly higher than that of the control group,and the wound healing time of the observation group was significantly shorter than that of the control group,the differ-ence was statistically significant(P<0.05).After treatment,the levels of inflammatory factors and scores of local signs in the observation group were lower than those in the control group,and the ankle bone index and blood flow of dorsal foot artery in the observation group were higher than those in the control group,the difference was statistically signifi-cant(P<0.05).Conclusion The combined application of negative pressure suction and Qufu Shengji decoction in pa-tients with diabetic foot gangrene can enhance the clinical efficacy,promote the healing of traumas,and also achieve the ideal anti-inflammatory effect.
作者
陈彦冰
刘畅
陈光
池季洪
CHEN Yanbing;LIU Chang;CHEN Guang;CHI Jihong(Changchun People's Hospital,Changchun,Jilin Province,130000 China;Changchun Medical College,Changc-hun,Jilin Province,130000 China)
出处
《糖尿病新世界》
2023年第19期5-8,共4页
Diabetes New World Magazine
基金
吉林省卫生健康科技能力提升项目(2022LC126)。
关键词
糖尿病组坏疽
负压吸引术
取腐生肌汤
创面愈合
抗炎
Diabetic gangrene
Negative pressure suction
Qufu Shengji decoction
Wound healing
Anti-inflammation
