CAJ | 학술논문

目的：系统评价负压封闭引流技术（ vacuum sealing drainage，VSD）和常规换药方法对于治疗糖尿病足（ diabetic foot，DF）皮肤溃疡面的临床效果。方法计算机检索PubMed、CNKI和万方数据库，收集比较VSD与常规换药方法治疗DF溃疡的中、英文随机对照研究，检索时限为2000年1月至2014年1月发表的文章。选择符合要求的文献，采用RevMan5.2软件进行Meta分析。结果对符合纳入标准的7篇文献，646例患者进行Meta分析。结果显示对于DF溃疡，VSD治疗较常规换药治疗可缩短创面愈合时间、提高创面完全愈合率、缩短住院时间、减少住院费用、减少二次截肢率，2种方法比较差异有统计学意义（ P＜0.05）。结论 VSD治疗DF创面愈合时间、愈合率、住院时间、住院费用及二次截肢率等指标均优于常规换药方法。
목적：계통평개부압봉폐인류기술（ vacuum sealing drainage，VSD）화상규환약방법대우치료당뇨병족（ diabetic foot，DF）피부궤양면적림상효과。방법계산궤검색PubMed、CNKI화만방수거고，수집비교VSD여상규환약방법치료DF궤양적중、영문수궤대조연구，검색시한위2000년1월지2014년1월발표적문장。선택부합요구적문헌，채용RevMan5.2연건진행Meta분석。결과대부합납입표준적7편문헌，646례환자진행Meta분석。결과현시대우DF궤양，VSD치료교상규환약치료가축단창면유합시간、제고창면완전유합솔、축단주원시간、감소주원비용、감소이차절지솔，2충방법비교차이유통계학의의（ P＜0.05）。결론 VSD치료DF창면유합시간、유합솔、주원시간、주원비용급이차절지솔등지표균우우상규환약방법。
Objective To evaluate clinical effects of vacuum sealing drainage ( VSD ) and conventional dressing in treatment of diabetic foot(DF)ulcers.Methods We searched PubMed, CNKI and WanFang data, and collected the Chinese and English randomized controlled studies on VSD and conventional dressing in treat-ment of DF ulcers.The retrieval time was from Jan.2000 to Jan.2014.RevMan5.2 software was used to make Meta-analysis.Results Seven papers including 646 cases met the standard and Meta analysis was conducted ac-cording to these data.The results showed that compared with conventional dressing, VSD treatment shortened the healing time, increased the complete healing rate, reduced hospital stay, and reduced hospital costs and seconda-ry amputation rates.The difference had statistical significance(P<0.05).Conclusion VSD is superior to con-ventional dressing method in terms of the healing time, healing rate, hospital stay, hospital costs and amputation rate.