中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
10期
1066-1069
,共4页
吴石白%关小宏%王良宸%王敏%赵永东%童奥%唐红%杨彩哲%王璐宁%肖黎%王珠红
吳石白%關小宏%王良宸%王敏%趙永東%童奧%唐紅%楊綵哲%王璐寧%肖黎%王珠紅
오석백%관소굉%왕량신%왕민%조영동%동오%당홍%양채철%왕로저%초려%왕주홍
糖尿病足坏疽%负压封闭引流
糖尿病足壞疽%負壓封閉引流
당뇨병족배저%부압봉폐인류
Diabetic foot gangrene%The vacuum sealing drainage
目的 探讨负压封闭引流技术(VSD)在重度糖尿病足坏疽(DFG)治疗中的临床疗效及适应证.方法 随机选取60例符合Wagner分级3～5级的DFG患者,使用VSD技术治疗创面,即VSD治疗组,采用回顾性对照研究的方法,对1年前采用创面常规引流方法治疗DFG的患者62例进行对照分析,即常规治疗组,观察创面愈合时间、换药次数、转归(治愈率)、平均住院时间及住院总费用等.结果 VSD组与常规治疗组比较创面愈合时间[(30.5±6.8)d与(53.8±5.5)d,t=2.636]、换药次数[(15.0±4.7)次与(29.5±6.1)次,t=2.374]、治愈率[96.7％ (58/60)与87.1％ (54/62),x2=9.93]、平均住院时间[(20.1±3.5)d与(36.5±4.6)d,t=2.564]、总住院费用[(20 155.6±153.8)元与(41465.5±146.6)元,t=2.873],差异均有统计学意义(P均＜0.05).结论 VSD治疗重度DFG疗效好,明显缩短创面愈合时间,提高治愈率,明显缩短住院时间,降低住院费用,是治疗DFG创面的有效方法.
目的 探討負壓封閉引流技術(VSD)在重度糖尿病足壞疽(DFG)治療中的臨床療效及適應證.方法 隨機選取60例符閤Wagner分級3～5級的DFG患者,使用VSD技術治療創麵,即VSD治療組,採用迴顧性對照研究的方法,對1年前採用創麵常規引流方法治療DFG的患者62例進行對照分析,即常規治療組,觀察創麵愈閤時間、換藥次數、轉歸(治愈率)、平均住院時間及住院總費用等.結果 VSD組與常規治療組比較創麵愈閤時間[(30.5±6.8)d與(53.8±5.5)d,t=2.636]、換藥次數[(15.0±4.7)次與(29.5±6.1)次,t=2.374]、治愈率[96.7％ (58/60)與87.1％ (54/62),x2=9.93]、平均住院時間[(20.1±3.5)d與(36.5±4.6)d,t=2.564]、總住院費用[(20 155.6±153.8)元與(41465.5±146.6)元,t=2.873],差異均有統計學意義(P均＜0.05).結論 VSD治療重度DFG療效好,明顯縮短創麵愈閤時間,提高治愈率,明顯縮短住院時間,降低住院費用,是治療DFG創麵的有效方法.
목적 탐토부압봉폐인류기술(VSD)재중도당뇨병족배저(DFG)치료중적림상료효급괄응증.방법 수궤선취60례부합Wagner분급3～5급적DFG환자,사용VSD기술치료창면,즉VSD치료조,채용회고성대조연구적방법,대1년전채용창면상규인류방법치료DFG적환자62례진행대조분석,즉상규치료조,관찰창면유합시간、환약차수、전귀(치유솔)、평균주원시간급주원총비용등.결과 VSD조여상규치료조비교창면유합시간[(30.5±6.8)d여(53.8±5.5)d,t=2.636]、환약차수[(15.0±4.7)차여(29.5±6.1)차,t=2.374]、치유솔[96.7％ (58/60)여87.1％ (54/62),x2=9.93]、평균주원시간[(20.1±3.5)d여(36.5±4.6)d,t=2.564]、총주원비용[(20 155.6±153.8)원여(41465.5±146.6)원,t=2.873],차이균유통계학의의(P균＜0.05).결론 VSD치료중도DFG료효호,명현축단창면유합시간,제고치유솔,명현축단주원시간,강저주원비용,시치료DFG창면적유효방법.
Objective To investigate the clinical effects and indications of the vacuum sealing drainage (VSD) in the treatment of severe diabetic foot gangrene.Methods We randomly recruited 60 cases,who had suffered from diabetic foot gangrene(DFG) at the grade of 3 -5,according to Wagner scale into VSD treatment groups and treated them with VSD methods.At the same time,62 DFG cases who had given routine drainage treatment one year ago were retrospectively analyzed as control group.The observed items included the wound healing time,number of dressing,outcome of treatment ( healing rate),the average days in hospital,total expenses of hospitalization and so on.Results The wound healing time of VSD treatment group and routine treatment group were ( 30.5 ± 6.8 ) days and ( 53.8 ± 5.5 ) days,respectively ( t =2.636,P ＜ 0.01 ).The numbers of dressing were( 15.0 ± 4.7) days and ( 29.5 ± 6.1 ) days,respectively ( t =2.374,P ＜ 0.01 ).The healing rates were 96.7％ (58/60) and 87.1％ (54/62),respectively(P ＜0.01 ).The average period in hospitalization were (20.1 ± 3.5 ) days and ( 36.5 ± 4.6 ) days,respectively ( t =2.564,P ＜ 0.01 ).Total expenses of hospitalization were(20 155.6 ± 153.8) yuan RMB and(41 465.5 ± 146.6) yuan RMB,respectively(t =2.873,P ＜0.01 ).All the differences were statistically significant.Conclusion The VSD method is effective for the treatment of severe diabetic foot gangrene(DFG).It is able to reduce the time of wound healing significantly,increase the healing rate,shorten the hospitalization period and cut the general expenses during hospitalization.It' s an effective method for the treatment of DFG.
