封闭式负压引流技术在糖尿病足溃疡中的应用及护理

The application of vacuum sealing drainage(VSD) in the treatment of diabetic foot ulceration

目的:探讨封闭式负压引流技术(vacuum sealing draina,VSD)在糖尿病足溃疡中的应用效果。方法:回顾性分析自2008年1月至2011年4月期间使用VSD治疗糖尿病足溃疡患者20例的临床资料,并与同期使用常规换药治疗糖尿病足溃疡患者25例对照,比较治疗效果。结果:糖尿病足Ⅰ度、Ⅱ度溃疡愈合时间,VSD组分别为(5.2±0.8)d和(13±3.6)d,均显著短于对照组的(8.0±1.4)d和(17.4±5.4)d(P<0.01);Ⅱ、Ⅲ度溃疡的治愈率,VSD组分别为100%和50%,高于对照组的67%和0%;Ⅱ、Ⅲ度溃疡的感染率,VSD组均为0%,低于对照组的33%和43%。结论:VSD治疗能促进糖尿病足溃疡创面愈合,效果优于常规换药。

Objective：To explore the application effect of vacuum sealing drainage （VSD） in the treatment of diabetic foot ulcera- tion. Methods： Through retrospective analysis, the therapeutic effect of 20 diabetic foot ulceration patients treated by VSD and 25 con- trol patients by bandage-fixing therapy from January 2008 to April, 2011 were compared. Results： The average healing time of degree I and 1T foot ulceration in VSD group was （5, 2 ~ 0. 8） days and （ 13 ＋ 3.6） days, It was shorter than （ 8.0 ~ 1.4） days and （ 17.4 ~5.4） days in the control group（P 〈0. 01 ）. Healing rate of degree Ⅱ and Ⅲ in VSD group was 100% - 50% . It was higher than 67% and 0% in the control group. The infection rate of degree Ⅱ and Ⅲ in VSD group was all 0%. It was higher than 33% and 43% in the control group. Conclusion ： The VSD therapy can promote diabetic foot ulceration healing and the effect of VSD was better than that of traditional dressing.