VAC联合IPC治疗糖尿病足部溃疡10例疗效分析

Therapeutic effects of vacuum-assisted closure combined with intermittent pneumatic compression on ulcer in 10 cases of diabetic foot

目的探讨负压辅助愈合(VAC)联合空气波压力(IPC)治疗糖尿病足部溃疡的疗效。方法将24例糖尿病足患者按入院时间随机分为治疗组10例和对照组14例,两组均给予降糖、抗炎、改善微循环、抗凝等治疗,对照组每日予以常规清创换药;治疗组在对照组基础上,给予VAC联合IPC治疗。观察两组显效时间和创面半程修复时间。结果治疗组的显效时间和创面半程修复时间明显短于对照组(P<0.05)。结论 VAC联合IPC治疗能显著缩短糖尿病足部溃疡创面的愈合时间。

Objective To discuss the curative effects of vacuum-assisted closure（VAC） combined with intermittent pneumatic compression（IPC） on ulcer in patients with diabetic foot. Methods Twenty four patients with diabetic foot were randomly divided into treatment group（ n = 10 ） and control group （n = 14 ） according to their time of admission. Both groups received the treatment of hypoglycemic therapy, anti-inflammation, microcirculation amelioration, and anticoagulation. The control group received conventional debridement and change of dressing everyday. The treatment group received VAC combined with IPC based on the same treatment as the control group. Observation was made in the effective time and the half-repair time. Results The effective time and the half-repair time in the treatment group were significantly shorter than those in the control group. Conclusion VAC combined with IPC can significantly shorten the wound healing time of diabetic foot ulcer.