中华糖尿病杂志
中華糖尿病雜誌
중화당뇨병잡지
CHINES JOURNAL OF DLABETES MELLITUS
2013年
10期
630-633
,共4页
足病,糖尿病%脓肿%负压吸引技术%双套管
足病,糖尿病%膿腫%負壓吸引技術%雙套管
족병,당뇨병%농종%부압흡인기술%쌍투관
Diabetic foot%Abscess%Negative pressure%Double cannula
目的 了解双套管冲洗负压吸引技术在Ⅲ级糖尿病足患者中应用的可行性.方法 2011年1月至2012年2月,选取在我科住院确诊的Ⅲ级糖尿病足患者(均为单足)共36例,其中男15例、女21例,按随机数字表法分为试验组17例,年龄(63±8)岁；对照组19例,年龄(65±6)岁.对照组实施脓肿切开引流术后常规换药,试验组实施脓肿切开引流术后置入双套管持续冲洗吸引,至引流液澄清拔除双套管,采用常规换药,观察两组患者创面愈合情况.统计学分析采用卡方检验和t检验.结果 试验组17例患者中,14例完全愈合,3例明显好转,治愈率达82.4％.对照组19例有8例治愈,8例好转,治愈率42.1％,差异有统计学意义(x2=6.12,P＜0.05).对照组3例经1个月换药等综合治疗后未见明显好转,其中包括2例在治疗期间病情恶化经截肢术处理.试验组患者创面愈合时间(20 ±3)d,对照组为(29 ±4)d,差异有统计学意义(t=6.5,P＜0.001).结论 双套管冲洗负压吸引技术可促进Ⅲ级糖尿病足患者伤口的愈合,减轻患者疼痛,并减少截肢的发生.
目的 瞭解雙套管遲洗負壓吸引技術在Ⅲ級糖尿病足患者中應用的可行性.方法 2011年1月至2012年2月,選取在我科住院確診的Ⅲ級糖尿病足患者(均為單足)共36例,其中男15例、女21例,按隨機數字錶法分為試驗組17例,年齡(63±8)歲；對照組19例,年齡(65±6)歲.對照組實施膿腫切開引流術後常規換藥,試驗組實施膿腫切開引流術後置入雙套管持續遲洗吸引,至引流液澄清拔除雙套管,採用常規換藥,觀察兩組患者創麵愈閤情況.統計學分析採用卡方檢驗和t檢驗.結果 試驗組17例患者中,14例完全愈閤,3例明顯好轉,治愈率達82.4％.對照組19例有8例治愈,8例好轉,治愈率42.1％,差異有統計學意義(x2=6.12,P＜0.05).對照組3例經1箇月換藥等綜閤治療後未見明顯好轉,其中包括2例在治療期間病情噁化經截肢術處理.試驗組患者創麵愈閤時間(20 ±3)d,對照組為(29 ±4)d,差異有統計學意義(t=6.5,P＜0.001).結論 雙套管遲洗負壓吸引技術可促進Ⅲ級糖尿病足患者傷口的愈閤,減輕患者疼痛,併減少截肢的髮生.
목적 료해쌍투관충세부압흡인기술재Ⅲ급당뇨병족환자중응용적가행성.방법 2011년1월지2012년2월,선취재아과주원학진적Ⅲ급당뇨병족환자(균위단족)공36례,기중남15례、녀21례,안수궤수자표법분위시험조17례,년령(63±8)세；대조조19례,년령(65±6)세.대조조실시농종절개인류술후상규환약,시험조실시농종절개인류술후치입쌍투관지속충세흡인,지인류액징청발제쌍투관,채용상규환약,관찰량조환자창면유합정황.통계학분석채용잡방검험화t검험.결과 시험조17례환자중,14례완전유합,3례명현호전,치유솔체82.4％.대조조19례유8례치유,8례호전,치유솔42.1％,차이유통계학의의(x2=6.12,P＜0.05).대조조3례경1개월환약등종합치료후미견명현호전,기중포괄2례재치료기간병정악화경절지술처리.시험조환자창면유합시간(20 ±3)d,대조조위(29 ±4)d,차이유통계학의의(t=6.5,P＜0.001).결론 쌍투관충세부압흡인기술가촉진Ⅲ급당뇨병족환자상구적유합,감경환자동통,병감소절지적발생.
Objective To determine the feasibility of perfusion cannula by continuous douche accompanied with negative pressure drainage applied in patients with diabetic foot complications.Methods Thirty six patients of Ⅲ grade diabetic foot patients were selected from January 2011 to February 2012,including male 15 and female 21.According to the random number table,17 cases were divided into the intervention group(aged(63 ± 8) yrs) and 19 cases in the control group (aged (65 ± 6)yrs).The control group received routine dressing after abscess incision.The intervention group received abscess incision drainage and double tube continuous irrigation and suction with negative pressure.When the drainage fluid was clear,the double tubes were removed and changed routine dressing.Wound state of the patients in the two groups were observed and compared.Chi-square test and t test were used for statistical analysis.Results Fourteen cases in intervention group were cured,three cases improved,and the curative rate was 82.4％ (14/17).Eight cases in control group were cured,eight cases improved,and the curative rate was 42.1％.The difference between the two groups was statistically significant (x2 =6.12,P ＜ 0.05).However,three cases in control group had no clear improvement,including two patients were received amputation.The average time of healing was (20 ± 3) d in the intervention group and (29 ± 4) d in the control group with statistically significant difference (t =6.5,P ＜ 0.001).Conclusion The use of dual cannula continuous douche by negative pressure drainage may improve wound healing,alleviate sufferings,and reduce the amputation rate in patients with diabetic foot wounds grade Ⅲ.
