用湿性愈合理论合并胰岛素治疗糖尿病人感染伤口的研究

Research on the Effect of Moist Healing Theory and Insulin in the Treatment of Diabetes Mellitus with Wound Infection

目的探讨湿性愈合理论在临床糖尿病患者感染伤口护理实践中的应用与效果。方法随机抽选该院所收治的60例糖尿病患者感染伤口分成甲乙两组各30例,分别给予其传统干性换药法与湿性换药法处理伤口,对比分析两组效果。结果乙组治疗总有效率为96.67%,同甲组的76.67%相比,差异有统计学意义(P<0.05),且在换药间隔时间、住院时间与伤口平均换药时间方面比较,两组差异有统计学意义(P<0.05)。结论在湿性愈合理论引导下,给予糖尿病患者感染伤口进行必要的创面处理,并适当应用胰岛素,效果显著。

Objective To discuss the effect of moist healing theory applied to the clinical nursing for diabetes mellitus with wound infection.Methods 60 diabetic patients with wound infection admitted in our hospital were randomly selected and divided into group A and group B with 30 cases in each and treated by traditional dry dressing change method,and wet dressing change method,respectively.And the efficacy of dressing method was compared and analyzed between the two groups.Results The overall response rate was 96.67%in group B,and 76.67%in group A,the difference in the overall response rate between group A and group B was statistically significant（P〈0.05）.The difference in dressing change interval,hospitalization time and the average duration of changing dressing between the two groups was statistically significant（P〈0.05）.Condusion Necessary wound treatment combined with proper use of insulin under the guidance of moist healing theory has remarkable effect on diabetes mellitus with wound infection.