基层糖尿病溃疡应用真空引流技术系统治疗的临床研究

Clinical Research of Vacuum Drainage Technique for the Systematical Treatment of Diabetic Ulcer in Primary Hospital

目的研究基层糖尿病溃疡应用真空引流技术系统治疗的临床效果,为治疗基层糖尿病溃疡患者提供科学的数据参考。方法选取我院2014年6月至2016年1月收治的80例糖尿病溃疡患者作为研究对象,随机分为两组各40例。对照组给予外科传统伤口清创、无菌敷料换药+内科常规控制血糖、抗感染治疗+常规康复指导,实验组给予可控真空引流+点状植皮或湿性敷料治疗。观察比较两组患者治疗4周以及6周的创面治疗效果、治疗费用以及出院时的康复效果等。结果实验组患者4周以及6周的创面治疗总有效率分别为77.5%(31/40)、95.0%(38/40),显著高于对照组的37.5%(15/40)、50.0%(20/40),差异均有统计学意义(P<0.05)。实验组的治疗费用为(30 987.6±1 568.2)元,显著少于对照组的(42 541.3±2 658.1)元,差异有统计学意义(P<0.05)。结论基层糖尿病溃疡应用真空引流技术系统治疗的临床效果显著。

Objective To study the clinical effect of diabetic ulcer treated with vacuum drainage technique systematically in primary hospital, so as to provide data reference for treatment in primary hospital. Methods A total of 80 cases of patients with diabetic ulcer in our hospital from June 2014 to January 2016 were selected as research objects. All cases were randomly divided into two groups, with 40 cases in each group. The control group was given traditional surgical wound debridement and change of sterile dressing ＋conventional blood sugar control and anti-infection treatment ＋ regular rehabilitation guidance, while the experimental group received vacuum drainage technique ＋ point skin implantation or synthetic dressing. The curative effects of wound at 4 weeks and 6 weeks of treatment, treatment cost and rehabilitation effect at discharge were observed and compared between two groups. Results The total effective rates for wound at 4weeks and 6 weeks of experimental group were 77.5%（31 /40） and 95.0%（38/40） respectively, significantly higher than 37.5%（15/40） and 50.0%（20/40） of control group, respectively, with statistical differences（P〈0.05）. The treatment cost of experimental group was（30987.6 ±1 568.2） Yuan, significantly lower than（42 541.3 ± 2 658.1） Yuan of control group（P〈0.05）. Conclusions V acuum drainage technique has significant clinical effect for the systematical treatment of diabetic ulcer.