创面局部氧疗在Wagner分级2~3级糖尿病足的疗效探讨

Efficacy of Wound Local Oxygen Therapy in Wagner Grade 2-3 Diabetic Foot

目的 探讨使用局部氧疗对Wagner分级2~3级糖尿病足创面恢复的临床效果。方法 选取2018年1月—2019年12月广西河池市人民医院收治的85例Wagner分级2~3级的糖尿病足患者病例资料进行回顾性研究,按照入院时间与治疗方法的不同分为传统组和氧疗组。2018年1—12月期间收治的43例患者为传统组,控制感染,常规处理创面;2019年1—12月收治的42例患者为氧疗组,在传统组基础上,每日辅以进行创面局部氧疗。计算两组的创面愈合率并进行比较,以评价使用局部氧疗对糖尿病足创面愈合的临床效果。结果 氧疗组治疗后3周的创面愈合率为(82.16±6.82)%,显著高于传统组(77.83±6.29)%,差异有统计学意义(t=3.044,P=0.003)。结论 使用局部氧疗能加速糖尿病足创面的愈合速度,提高创面的愈合率,缩短治疗时间。

Objective To investigate the clinical effect of local oxygen therapy on the recovery of Wagner grade 2-3 diabetic foot wounds.Methods A retrospective study was conducted on the case data of 85 patients with Wagner grade 2-3 diabetic foot admitted to the Guangxi Hechi People’s Hospital from January 2018 to December 2019.The patients were divided into traditional group and oxygen therapy group according to the time of admission.Forty-three patients admitted from January to December 2018 were in the traditional group.Infection control,routine treatment of wounds.The 42 patients admitted from January to December 2019 were in the oxygen therapy group.Based on the traditional group,supplemented by daily local oxygen therapy on the wound.The wound healing rates of the two groups were calculated and compared to evaluate the clinical effect of local oxygen therapy on the healing of diabetic foot wounds.Results The wound healing rate of the oxygen therapy group 3 weeks after treatment was(82.16±6.82)%,which was significantly higher than that of the traditional group(77.83±6.29)%,and the difference was statistically significant(t=3.044,P=0.003).Conclusion The use of local oxygen therapy can accelerate the healing speed of diabetic foot wounds,improve the wound healing rate,and shorten the treatment time.