CAJ | 학술논문

目的观察刮匙与剥丝换药法在糖尿病足护理中应用的临床效果.方法选取36例住院诊断为糖尿病足的患者,采用随机数字表法分为实验组18例和对照组18例. 实验组采用内科治疗加刮匙与剥丝法换药治疗;对照组采用内科治疗加常规换药治疗.比较2组在肉芽组织成熟度、创面愈合速度和疗效方面的差异. 结果实验组在第10天创面肉芽组织成熟度达"++"和"+++"有10例,对照组4例;实验组在第10天和第14天创面愈合速度分别是(78.6±10.5)%和(82.7±8.4)%,对照组是(43.2±8.7)%和(66.2±10.1)%;治疗4周后实验组治愈率为14/18,无效率为0;对照组治愈率为6/18,无效率为3/18. 结论刮匙与剥丝法是一种良好的促进糖尿病足创面愈合的换药方法,其疗效优于传统方法,值得临床推广应用.
목적 관찰괄시여박사환약법재당뇨병족호리중응용적림상효과.방법 선취36례주원진단위당뇨병족적환자,채용수궤수자표법분위실험조18례화대조조18례. 실험조채용내과치료가괄시여박사법환약치료;대조조채용내과치료가상규환약치료.비교2조재육아조직성숙도、창면유합속도화료효방면적차이. 결과 실험조재제10천창면육아조직성숙도체"++"화"+++"유10례,대조조4례;실험조재제10천화제14천창면유합속도분별시(78.6±10.5)%화(82.7±8.4)%,대조조시(43.2±8.7)%화(66.2±10.1)%;치료4주후실험조치유솔위14/18,무효솔위0;대조조치유솔위6/18,무효솔위3/18. 결론 괄시여박사법시일충량호적촉진당뇨병족창면유합적환약방법,기료효우우전통방법,치득림상추엄응용.
Objective To observe the clinical efficacy using curette and stripping wire method in treating diabetic foot. Methods 36 hospitalized patients diagnosed as diabetic foot were enrolled, and 18 of them were chosen as the experimental group according to random digital table method who was treated with medical therapy plus curette and stripping wire method in treating diabetic foot. The other 18 patients were named as the control group who were treated by medical treatment and routine treatment. The granulation tissue maturity, wound healing, and the differences on curative effect were compared. Results 10 cases′wound granulation tissue maturity in the experimental group got"++"and"+++"on the 10th day while 4 cases in control group. Wound healing rate of the experimental group at the 10th and 14th day were (78.6±10.5)%and (82.7±8.4)%while the control group were (43.2±8.7)%and (66.2±10.1)%. Cure rate of the experimental group was 14/18 four weeks after treatment, the inefficiency was 0, while the control group was 6/18 and 3/18. Conclusions Curette and stripping wire method is a good method to promote the dressing diabetic foot wound healing. It is superior to traditional methods, worthy of clinical application.