负压封闭引流联合腓肠神经营养血管皮瓣修复糖尿病足创面疗效研究

Therapeutic Effect of Vacuum Closed Drainage Combined with Sural Neurovascular Flap for Repairing Diabetic Foot Wound

目的细致分析负压引流联合腓肠神经营养血管皮瓣修复糖尿病足创面的应用效果。方法抽选来自2018年2月-2019年1月期间该院收治的糖尿病足并发溃疡的患者(82例),按照双色球盲选法将其分为对照组和研究组(各41例),对照组运用负压引流开展治疗,研究组则采用负压引流联合腓肠神经营养血管皮瓣开展治疗,细致分析两种不同治疗方法对于患者的影响。结果研究组相比于对照组,治疗总效率显著提升14.63%,两组差异有统计学意义(P<0.05);研究组的住院时间、肢体感觉恢复时间以及疼痛缓解时间均短于对照组,且手术次数明显减少,不良反应发生率显著下降,两组之间差异有统计学意义(P<0.05)。研究组相比于对照组,肢体保留百分比大大增加,且住院总费用也明显下降,两组之间差异有统计学意义。结论将负压引流联合腓肠神经营养血管皮瓣修复应用于糖尿病足并发溃疡,能够避免不良情况的发生,值得推广。

Objective To analyze the application of negative pressure drainage combined with sural neurovascular flap in the repair of diabetic foot wounds. Methods A total of 82 patients with diabetes mellitus complicated with ulcers from February 2018 to January 2019 were enrolled. They were divided into control group and study group(41 cases each) according to the two-color ball blind selection method. The control group was treated with negative pressure drainage, and the study group was treated with negative pressure drainage combined with sural neurovascular flap to analyze the effects of two different treatment methods on patients. Results Compared with the control group, the total treatment efficiency increased significantly by 14.63%. The difference between the two groups was statistically significant(P<0.05). The length of hospital stay, limb recovery time and pain relief time were shorter in the study group than in the control group. The incidence of adverse reactions decreased significantly, and the difference between the two groups was statistically significant(P <0.05).Compared with the control group, the study group had a significant increase in the percentage of limb retention, and the total hospitalization cost also decreased significantly. The difference between the two groups was statistically significant.Conclusion The application of negative pressure drainage combined with sural neurovascular flap for the treatment of diabetic foot complicated with ulcer can avoid the occurrence of adverse conditions and is worthy of promotion.