摘要
目的探讨糖尿病足溃疡愈合应用经皮氧分压测定预测的临床价值。方法方法:选取河北医科大学第一医院120例糖尿病足溃疡患者作为研究对象,根据患者预后分为甲级愈合组、乙级愈合组及长期换药愈合或截肢组,测定愈合平面的经皮氧分压;根据经皮氧分压测定值分为A组(<20mmHg)、B组(20~40mmHg)、C组(>40mmHg),对A组、B组及C组患者的愈合情况进行对比分析。结果甲级愈合组患者经皮氧分压显著大于乙级愈合组[(39.8±10.2)mmHg比(30.2±8.5)mmHg,P <0.05];乙级愈合组患者经皮氧分压显著大于长期换药愈合或截肢组[(30.2±8.5)mmHg比(15.9±7.1)mmHg,P <0.05]。C组患者甲级愈合率显著大于A组(92.00%比12.90%,P <0.05)、B组(92.00%比51.28%,P <0.05);B组患者甲级愈合率显著大于A组(51.28%比12.90%,P <0.05);三组患者乙级愈合率比较,差异无统计学意义(P>0.05)。结论糖尿病足溃疡愈合效果与经皮氧分压测定值呈正相关,经皮氧分压预测患者预后的临床价值显著,为临床治疗提供依据。
Objective To investigate the clinical value of the healing of diabetic foot ulcers application transcutaneous oxygen measurement to predict.Methods 120 cases of diabetic foot ulcer patients as research subjects,union groups and long-term healing or amputation dressing prognostic divided into groups according to grade healing group A,B,measuring planar healing transcutaneous oxygen pressure;according to transcutaneous oxygen partial pressure measurement values into Group A(<20 mmHg),group B(20~40 mmHg),C group(>40 mmHg),group A,group B and group C healing patients were analyzed.Results Class heal patients transcutaneous oxygen pressure was significantly greater than healing group B(P<0.05);B heal patients transcutaneous oxygen pressure was significantly greater than the long-term healing or amputation dressing group(P<0.05);C Grade patients healing rate was significantly greater than in group A,group B;group B patients with Class-A healing rate was significantly greater than in group A(P<0.05);A Group B Group B pairwise and group C patients with no healing rate significant difference(P>0.05).Conclusion Diabetic foot ulcer healing effect of transcutaneous oxygen pressure was positively correlated with the measured values,the clinical value of transcutaneous oxygen predict the prognosis of patients significantly,provide the basis for clinical treatment.
作者
韩旭
侯素芳
周慧敏
HAN Xun;HOU Su-fang;ZHOU Hui-min(DepartmentofEndocrinology,the First Hospital of Hebei Medical University,Shijiazhuang050000,China)
出处
《中国误诊学杂志》
CAS
2018年第12期558-559,共2页
Chinese Journal of Misdiagnostics
关键词
糖尿病足溃疡
经皮氧分压
愈合
diabetic foot ulcers
transcutaneous oxygen
healing