蚕食清创联合银离子敷料治疗糖尿病足溃疡

Nibble debridement combined with silver ions dressing in treatment of diabetic foot ulcer

目的探讨蚕食清创联合银离子敷料治疗糖尿病足溃疡的临床疗效。方法回顾性分析2012年1月至2016年12月眉山市人民医院收治的238例糖尿病足患者的临床资料,其中125例患者采用蚕食清创联合银离子敷料治疗糖尿病足溃疡(蚕食清创组),113例采用外科清创联合银离子敷料治疗(外科清创组),比较2组患者的临床疗效、创面愈合时间、并发症发生情况。结果蚕食清创组创面愈合时间为(37.5±10.8)d,外科清创组为(45.3±11.7)d,蚕食清创组愈合情况优于外科清创组,2组比较差异有统计学意义(P<0.05);蚕食清创组总有效率为92.80%,外科清创组为73.45%,蚕食清创组总有效率高于外科清创组,差异有统计学意义(P<0.05)。2组患者治疗期间均未发生并发症。结论蚕食状清创联合银离子敷料治疗糖尿病足溃疡效果满意,缩短了创面愈合时间,降低了医疗费用。

Objective To explore the clinical efficacy of nibble debridement combined with silver ions dressing in treatment of diabetic foot ulcer. Methods The data of 238 patients with diabetic foot ulcer in people＇ s hospital of Meishan from January 2012 to December 2016 were retrospectively analyzed. Of which 125 patients were treated by nibble debridement combined with silver ions dressing（ nibble debride- ment group）, 113 patients were treated with surgical debridement combined with silver ions dressing（ surgical debridement group）. The clinical efficacy,wound healing time and complication between two groups were compared. Results The wound healing time of nibble debridement group was （ 37.5 ± 10.8 ） days, which was shorter than （ 45.3 ± 11.7 ） days of surgical debridement group, the difference was significant （P 〈0.05）. The total effective rate of nibble debridement group was 92.80% , which was higher than 73.45% of surgical debridement group, the difference was significant （P 〈 0.05 ）. No complication occurred in two groups. Conclusion The method of nibble debridement combined with silver ions dressing treatment has a better satisfactory clinical result, shorter wound healing time and lower medical costs for pa- tients with diabetic foot ulcer.