糖尿病新世界
糖尿病新世界
당뇨병신세계
DIABETES NEW WORLD
2014年
16期
6-7
,共2页
VSD技术%糖尿病足%创面清创%护理探讨
VSD技術%糖尿病足%創麵清創%護理探討
VSD기술%당뇨병족%창면청창%호리탐토
VSD technology%Diabetic foot%Wound debridement%Investigation of nursing
目的：探讨观察并分析负压封闭引流技术VSD治疗糖尿病足溃疡创面效果。方法该院2012年4月—2014年5月收治糖尿病足患者50例，VSD治疗组随机选取25例2型糖尿病足患者,使用VSD技术治疗创面,根据创面引流物多少及医用海绵清洁情况每3～7 d更换1次,25例常规换药组观察创面愈合时间、换药次数、治愈率等。结果 VSD组与常规换药组比较创面愈合时间[(16.8±5.5)d与(50.8±6.5)d]、换药次数[(7.9±3.5)次与(21.5±5.1)次,]、治愈率[96％与88％]。结论负压封闭引流技术VSD治疗糖尿病足可改善其局部血运,减轻局部水肿,利用负压引流将创面炎性渗出物和坏死组织吸出，加快糖尿病足溃疡面愈合速度，促进创面肉芽组织生长,缩短创面愈合时间[1]。
目的：探討觀察併分析負壓封閉引流技術VSD治療糖尿病足潰瘍創麵效果。方法該院2012年4月—2014年5月收治糖尿病足患者50例，VSD治療組隨機選取25例2型糖尿病足患者,使用VSD技術治療創麵,根據創麵引流物多少及醫用海綿清潔情況每3～7 d更換1次,25例常規換藥組觀察創麵愈閤時間、換藥次數、治愈率等。結果 VSD組與常規換藥組比較創麵愈閤時間[(16.8±5.5)d與(50.8±6.5)d]、換藥次數[(7.9±3.5)次與(21.5±5.1)次,]、治愈率[96％與88％]。結論負壓封閉引流技術VSD治療糖尿病足可改善其跼部血運,減輕跼部水腫,利用負壓引流將創麵炎性滲齣物和壞死組織吸齣，加快糖尿病足潰瘍麵愈閤速度，促進創麵肉芽組織生長,縮短創麵愈閤時間[1]。
목적：탐토관찰병분석부압봉폐인류기술VSD치료당뇨병족궤양창면효과。방법해원2012년4월—2014년5월수치당뇨병족환자50례，VSD치료조수궤선취25례2형당뇨병족환자,사용VSD기술치료창면,근거창면인류물다소급의용해면청길정황매3～7 d경환1차,25례상규환약조관찰창면유합시간、환약차수、치유솔등。결과 VSD조여상규환약조비교창면유합시간[(16.8±5.5)d여(50.8±6.5)d]、환약차수[(7.9±3.5)차여(21.5±5.1)차,]、치유솔[96％여88％]。결론부압봉폐인류기술VSD치료당뇨병족가개선기국부혈운,감경국부수종,이용부압인류장창면염성삼출물화배사조직흡출，가쾌당뇨병족궤양면유합속도，촉진창면육아조직생장,축단창면유합시간[1]。
Objective To observe and analyze the effect of vacuum sealing drainage (VSD) technology in the treatment of diabetic foot ulcer. Methods 50 patients with diabetic foot were treated from April 2012 to May 2014. On the one hand, we randomly se-lected 25 patients with type 2 diabetic foot as the VSD treatment group. VSD technology was given to them for treating the wound, and medical sponges were changed every 3~7d according to the amount of wound drainage. On the other hand, we selected another 25 patients with type 2 diabetic foot as the control group and conventional treatments were given to them. And the wound healing time, dressing times and cure rate of the two groups were observed. Results Comparing the VSD treatment group with control group, the wound healing time is (16.8 ± 5.5) d and (50.8 ± 6.5) d, respectively, the dressing times are (7.9 ± 3.5) times and (21.5 ± 5.1) times, respectively, the cure rate is 96% and 88%, respectively. Conclusion VSD technology can improve the local blood supply and alleviate local edema in the treatment of diabetic foot. Using vacuum drainage to aspirate the wound inflammatory exu-dates and necrotic tissues, can accelerate the healing of diabetic foot ulcers, and promote the growth of granulation tissue and shorten the wound healing time[1].
