湿性愈合理论在糖尿病足溃疡创面换药中的应用分析

Application of Wet Healing Theory in Dressing of Diabetic Foot Ulcer

目的:探讨湿性愈合理论在糖尿病足溃疡创面换药中的应用。方法:将从2015年2月-2016年10月在笔者所在医院就诊的40例糖尿病足患者按照数字随机表法分为对照组和试验组,各20例;对照组实施干性愈合换药法,试验组实施湿性愈合换药法;对比分析两组患者临床效果。结果:试验组伤口每次平均换药时间为(7.83±2.54)min,显著短于对照组,差异有统计学意义(P<0.05);试验组每次平均换药间隔时间为(3.60±1.12)d,显著高于对照组,差异有统计学意义(P<0.05);试验组平均住院时间为(16.22±3.03)d,显著短于对照组的(21.64±3.28)d,差异有统计学意义(P<0.05)。试验组患者总有效率为95.00%,显著高于对照组的80.00%,差异有统计学意义(P<0.05)。结论:以湿性愈合理论来指导糖尿病足溃疡创面换药,可以缩短伤口换药时间,延长间隔换药时间,提高临床有效率,具有推广应用价值。

Objective： To study the theory of wet healing in diabetic foot ulcer wound dressing application.Method： From February 2015 to October 2016 in the author＇s hospital, 40 patients with diabetic foot were in accordance with the table numbers randomly divided into control group and experimental group, each with 20 patients.Control group was given dry healing treatment method, experimental group was given wet healing treatment method.The clinical effect of two groups were compared.Result： The wound dressing time was （7.83 ± 2.54） min, significantly less than control group, the difference was statistically significant（P〈0.05）.The average switching interval time of experimental group was （3.60 ± 1.12）d, significantly greater than the control group, the difference was statistically significant（P〈0.05）.The average hospitalization time of experimental group was （16.22 ± 3.03） d, significantly shorter than （21.64 ± 3.28）d of the control group, the difference was statistically significant （P〈0.05）.The effective rate of experimental group was 95.00%, significantly higher than 80.00% of control group, the difference was statistically significant （P〈0.05）.Conclusion： According to the theory of wet healing diabetic foot ulcer wound dressing, wound dressing can shorten the time, to extend the time of interval treatment, improve the clinical effectiveness, popularization and application value.