CAJ | 학술논문

目的：探讨锡类散联合银离子敷料在糖尿病足部溃疡护理中的应用效果。方法选取糖尿病足部溃疡患者120例，按照随机数字表法分为观察组64例和对照组56例，对照组溃疡部位给予锡类散外敷，观察组给予锡类散联合银离子敷料外敷，比较两组患者15 d后的溃疡治愈率和换药次数。结果观察组患者的治愈率为76．56％，高于对照组的62．51％，换药次数为（3．64±0．86）次，少于对照组的（6．31±1．65）次，差异均有统计学意义（χ2/t分别为2．128，3．224；P＜0．05）。结论将锡类散联合银离子敷料外敷用于糖尿病足溃疡可提高治愈率，减少换药次数。
목적：탐토석류산연합은리자부료재당뇨병족부궤양호리중적응용효과。방법선취당뇨병족부궤양환자120례，안조수궤수자표법분위관찰조64례화대조조56례，대조조궤양부위급여석류산외부，관찰조급여석류산연합은리자부료외부，비교량조환자15 d후적궤양치유솔화환약차수。결과관찰조환자적치유솔위76．56％，고우대조조적62．51％，환약차수위（3．64±0．86）차，소우대조조적（6．31±1．65）차，차이균유통계학의의（χ2/t분별위2．128，3．224；P＜0．05）。결론장석류산연합은리자부료외부용우당뇨병족궤양가제고치유솔，감소환약차수。
Objective To explore the application effect of tin powder combined with the silver ion dressings on the nursing of the diabetic foot ulcer .Methods One hundred and twenty patients with the diabetic foot ulcer from January 2012 to March 2012 were chosen and were divided into the control group ( n=56 ) and the observation group ( n=64 ) according to the random number table .The control group received the tin powder dressings, and the observation group received the tin powder combined with the silver ion dressings .The cure rate of ulcer and the times of changing the dressings were compared between two groups 15 days after the intervention.Results The cure rate of ulcer in the observation group was 76.56%, and was higher than 62.51%in the control group;the times of changing the dressings were (3.64 ±0.86) in the observation group , and were less than (6.31 ±1.65) in the control group, and the differences were statistically significant (χ2/t=2.128, 3.224, respectively;P<0.05).Conclusions The application of tin powder combined with the silver ion dressings on the diabetic foot ulcer can increase the cure rate of ulcer , and reduce the times of changing the dressings.