超声清创机联合普朗特Prontosan~?液体伤口敷料治疗糖尿病足溃疡的临床观察

Clinical observation on ultrasonic debridement machine combined with Prontosan~? liquid dressing in treatment of diabetic foot ulcer

目的观察超声清创机联合普朗特Prontosan■液体伤口敷料治疗糖尿病足溃疡的临床疗效和不良反应。方法将96例糖尿病足患者溃疡Wagner分级≤3级的患者采用随机数字表法分为对照组(A组)20例(采用传统清创术),超声清创机组(B组)30例(采用超声清创机),联合治疗组(C组)30例(采用超声清创机清创联合普朗特Prontosan■液体敷料)和普朗特治疗组(D组)16例(采用普朗特Prontosan■液体敷料)。治疗15天后,观察各组患者治疗效果、溃疡愈合率情况。结果 B组、C组、D组溃疡愈合率均高于A组,差异有统计学意义(P<0.05);治疗15日后B组、C组、D组患者的SAD均低于A组,差异有统计学意义(P<0.05)。结论超声清创机联合普朗特Prontosan■液体敷料治疗糖尿病足溃疡的溃疡愈合率明显升高,临床效果良好。

Objective To observe the clinical curative effect and adverse reactions of treating diabetic foot ulcer with ultrasonic debridement machine combined with Prontosan ■ liquid wound dressing. Methods A total of 96 hospitalized type 2 diabetes patients ( ulcer Wagner classification ≤3) were randomly divided into control group 20 cases ( group A , adopting traditional debridement), ultrasonic debridement machine group 30 cases ( group B , adopting ultrasonic debridement machine), combination therapy group 30 cases ( group C , adopting ultrasonic debridement machine combined with ProntosanR liquid wound dressing) and ProntosanR treatment group 16 cases ( group D, adopting ProntosanR liquid wound dressing). After 15 days of treatment, the therapeutic effect and ulcer healing rate of each group were observed. Results Ulcer healing rates in group B , group C and group D were higher than those in group A, with statistically significant differences ( P < 0. 05 ). After 15 days of treatment, SAD in group B, group C and group D was lower than that in group A , with statistically significant differences (P <0. 05). Conclusion The healing rate of diabetic foot ulcer treated by ultrasonic debridement machine combined with ProntosanR liquid dressing is obviously increased, and the clinical effect is good.