摘要
目的：了解非易受压力部位多点切开引流治疗3级糖尿病足患者的治疗效果。方法：2010年9月-2013年9月，选取在我科住院确诊的3级糖尿病足患者共46例，其中男22例，女24例，按随机数字表法分为试验组23例，年龄64±6岁；对照组23例，年龄63±7岁。试验组实施非易受压力部位多点小切口切开引流、减压，对照组实施脓肿充分切开引流，2组均根据创面、引流液情况采用相同冲洗液、引流条引流、换药，观察2组患者45天创面愈合情况及1年内溃疡再次复发情况。统计学分析采用卡方检验和t检验。结果：试验组23例患者中，愈合18例，好转4例，再发0例，治愈率78．3再发率0，截肢率0，死亡率0。对照组23例患者中，愈合13例，好转6例，再发4例，截肢2例，治愈率56．5％，再发率20．0％，截肢率8．7％，死亡率4．3％。差异有统计学意义。试验组患者创面愈合时间24±9天，对照组30±7天，差异有统计学意义。结论：非受力部位多点切开引流治疗3级糖尿病足患者愈合快、创伤小、复发率低。
Objective： To understand the stress - prone part muhipoint incision drainage treatment effect for the treatment of 3 patients with diabetic foot. Methods： Sep 2010 to sep 2013, selected hospitalized in our department confirmed the 3rd level, a total of 46 patients with diabetic foot, 22 cases of male, female 24 cases, 23 cases according to random number table method is divided into the experimental group, age （64 6） ; The control group, 23 cases aged （ （63 ± 7） ）. Experimental implementation of vulnerable to stress more small incision incision drainage and decompression, control the implementation of abscess incision drainage, fully in the two groups are the same according to the wound, drainage fluid situation rinses, drainage of drainage, treatment, observe two groups of patients with ulcer wound healing of 45 days and 1 years relapse again. Statistical analysis using chi - square test and t test. Results： The experimental group of 23 cases, 18 cases, 4 cases were improved, again hair 0 cases, cure rate 78.3 recurrence rate is 0, amputation rate of 0, 0 mortality. The control group of 23 cases, 13 cases, 6 cases improved, recurrence in 4 cases, amputation in 2 cases, cure rate 56.5 %, recurrence rate was 20.0%, the amputation rate 8.7%, the mortality rate of 4.3%. The difference was statistically significant. Experimental group patients （24 ±9） d wound healing time, the control group （30 ±7） d, the difference was statistically significant. Conclusion： The aerodynamic force is more open drainage treatment level 3 quick healing of diabetic foot patients, small trauma, low recurrence rate.
出处
《中国伤残医学》
2016年第8期20-22,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
足病
糖尿病
脓肿
非易受压力部位
切开引流
减压
Dabetic foot
An abscess
Not vulnerable to pressure parts
Incision drainage
the reduced pressure
作者简介
王林，单位：西峡县人民医院内分泌科，通讯地址：河南省南阳市西峡县城关镇建设路374号，邮编：474500，电话：13782067743、0377—69679976，邮箱：wanglin2006@yeah．net
