CAJ | 학술논문

目的：探讨超声清创术在糖尿病足溃疡治疗中的应用效果。方法将62例糖尿病足溃疡Wagner分级≤3级的患者分为实验组32例和对照组30例。实验组接受超声清创机冲洗创面，对照组则采用传统清创术进行反复冲洗。比较两组患者溃疡伤口的治疗效果、疼痛分值、愈合时间、创面缩小率及细菌平均数情况。结果实验组的疼痛分值、愈合时间、创面细菌平均数较对照组明显减少，创面的治疗效果和缩小率高于对照组，两组比较差异有统计学意义（P＜0.05）。结论应用超声清创机清洗糖尿病足溃疡，可以有效清除创面病原体和异物，促进伤口愈合，缩短愈合天数，增加患者舒适度。
목적：탐토초성청창술재당뇨병족궤양치료중적응용효과。방법장62례당뇨병족궤양Wagner분급≤3급적환자분위실험조32례화대조조30례。실험조접수초성청창궤충세창면，대조조칙채용전통청창술진행반복충세。비교량조환자궤양상구적치료효과、동통분치、유합시간、창면축소솔급세균평균수정황。결과실험조적동통분치、유합시간、창면세균평균수교대조조명현감소，창면적치료효과화축소솔고우대조조，량조비교차이유통계학의의（P＜0.05）。결론응용초성청창궤청세당뇨병족궤양，가이유효청제창면병원체화이물，촉진상구유합，축단유합천수，증가환자서괄도。
Objective To explore the effect of ultrasonic debridement in the treatment of diabetic foot ulcers. Methods 62 patients with diabetic foot ulcers were divided into the experimental group(32cases) and the control group(30cases).The experimental group was given ultrasonic debridement therapy and the traditional debridement method was applied in the control group. The effect of treatment, pain scores, the healing time, the ratio of reduction of the surface of wounds and average number of bacteria were compared between the two groups. Results There were statically significant differences in the comparison of the pain scores, the healing time, the average number of bacteria, the effect of treatment and ratio of reduction of the surface of wounds between the two groups(P<0.05). Conclusion The ultrasonic debridement can effectively remove the pathogen and foreign matters of wounds, shorten the treatment time, promote the healing of and comfort of the patients.