胫骨横向骨搬运结合负压引流术应用于糖尿病足的效果分析

Analysis of the Effect of Tibial Transverse Bone Carrying Combined withNegative Pressure Drainage in the Application of Diabetic Foot

目的探讨对糖尿病足采用胫骨横向骨搬运结合负压引流术,对糖尿病足的踝肱指数(ankle brachial index,ABI)、足背动脉血流速度、足部皮肤温度、密歇根神经病变筛查量表(Michigan Neuropathy Screening Scale,MNSI)、碱性成纤维细胞生长因子(serum basic fibroblast growth factor,bFGF)、表皮生长因子(epidermal growth factor,EGF)的影响。方法选取2021年2月—2022年12月麻城市人民医院骨外科收治的92例糖尿病足住院患者为研究对象,根据不同治疗方法,分为对照组和观察组,每组46例。对比两组患者的ABI、足背动脉血流速度、足部皮肤温度、MNSI评分、bFGF、EGF。结果观察组患者ABI(0.96±0.12)、足背动脉血流速度(33.12±3.61)cm/s、足部皮肤温度(30.82±1.55)°、MNSI评分、bFGF(173.52±32.61)pg/mL、EGF(714.85±95.65)pg/mL明显优于对照组,差异有统计学意义(P<0.05)。结论采用胫骨横向骨搬运结合负压引流术,可以提高患者的血流运行速度、皮肤温度、促进皮肤生长,降低MNSI评分。

Objective To explore the application of transverse tibial bone transport combined with negative pressure drainage in diabetic foot.The effects of ankle brachial index(ABI),dorsalis pedis artery blood flow velocity,foot skin temperature,Michigan Neuropathy Screening Scale(MNSI),serum basic fibroblast growth factor(bFGF)and epider-mal growth factor(EGF)on diabetic foot.Methods From February 2021 to December 2022,92 inpatients with dia-betic foot in the Department of Orthopedics,Macheng People's Hospital were selected as the research objects.Ac-cording to different treatment methods,they were divided into control group and observation group,with 46 cases in each group.ABI,dorsalis pedis artery blood flow velocity,foot skin temperature,MNSI score,bFGF and EGF were compared between the two groups.Results ABI(0.96±0.12),dorsalis pedis artery blood flow velocity(33.12±3.61)cm/s,foot skin temperature(30.82±1.55)°,MNSI score,bFGF(173.52±32.61)pg/mL,EGF(714.85±95.65)pg/mL in the ob-servation group were significantly better than those in the control group,and the differences were statistically signifi-cant(P<0.05).Conclusion The use of tibial transverse bone carrying combined with negative pressure drainage can improve the blood flow running speed,skin temperature,promote skin growth,and reduce the MNSI score of the pa-tients.