Research progress and potential of new enhanced oil recovery methods in oilfield development

This paper reviews the basic research means for oilfield development and also the researches and tests of enhanced oil recovery(EOR)methods for mature oilfields and continental shale oil development,analyzes the problems of EOR methods,and proposes the relevant research prospects.The basic research means for oilfield development include in-situ acquisition of formation rock/fluid samples and non-destructive testing.The EOR methods for conventional and shale oil development are classified as improved water flooding(e.g.nano-water flooding),chemical flooding(e.g.low-concentration middle-phase micro-emulsion flooding),gas flooding(e.g.micro/nano bubble flooding),thermal recovery(e.g.air injection thermal-aided miscible flooding),and multi-cluster uniform fracturing/water-free fracturing,which are discussed in this paper for their mechanisms,approaches,and key technique researches and field tests.These methods have been studied with remarkable progress,and some achieved ideal results in field tests.Nonetheless,some problems still exist,such as inadequate research on mechanisms,imperfect matching technologies,and incomplete industrial chains.It is proposed to further strengthen the basic researches and expand the field tests,thereby driving the formation,promotion and application of new technologies.

Performance Evaluation of the Halophilic Crude Oildegrading Bacterial Consortium XH-1 for Oilfield Wastewater Treatment

A total of 14 halophilic hydrocarbon-degrading strains were isolated from crude oil-contaminated sites,using petroleum as the sole carbon and energy source.Among these,four highly efficient strains were selected to create the mixed bacterial agent XH-1.These four strains were identified through 16S rRNA gene-based sequencing as belonging to Acinetobacter,Bacillus paramycoides,Rhodococcus sp.,and Enterobacter sp.,respectively.The optimal cultivation time for the mixed consortium XH-1 was found to be 48 h,and a nitrogen-phosphorus molar ratio of 10:1 was determined to be beneficial for crude oil degradation.XH-1 showed notable crude oil degradation even at a salinity of up to 30 g/L,with little inhibition observed at sulfide concentrations as high as 150 mg/L and initial oil concentrations of 500 mg/L.Gas chromatography analysis revealed that XH-1 was able to efficiently degrade C9–C29 n-alkanes.Moreover,a bio-contact oxidation reactor enhanced by XH-1 showed promising results in treating oilfield wastewater.These findings suggest that XH-1 can be applied for the treatment of oilfield wastewater.

Oilfield analogy and productivity prediction based on machine learning: Field cases in PL oilfield, China

In the early time of oilfield development, insufficient production data and unclear understanding of oil production presented a challenge to reservoir engineers in devising effective development plans. To address this challenge, this study proposes a method using data mining technology to search for similar oil fields and predict well productivity. A query system of 135 analogy parameters is established based on geological and reservoir engineering research, and the weight values of these parameters are calculated using a data algorithm to establish an analogy system. The fuzzy matter-element algorithm is then used to calculate the similarity between oil fields, with fields having similarity greater than 70% identified as similar oil fields. Using similar oil fields as sample data, 8 important factors affecting well productivity are identified using the Pearson coefficient and mean decrease impurity(MDI) method. To establish productivity prediction models, linear regression(LR), random forest regression(RF), support vector regression(SVR), backpropagation(BP), extreme gradient boosting(XGBoost), and light gradient boosting machine(Light GBM) algorithms are used. Their performance is evaluated using the coefficient of determination(R^(2)), explained variance score(EV), mean squared error(MSE), and mean absolute error(MAE) metrics. The Light GBM model is selected to predict the productivity of 30 wells in the PL field with an average error of only 6.31%, which significantly improves the accuracy of the productivity prediction and meets the application requirements in the field. Finally, a software platform integrating data query,oil field analogy, productivity prediction, and knowledge base is established to identify patterns in massive reservoir development data and provide valuable technical references for new reservoir development.

Effect of CO_(2)flooding in an oil reservoir with strong bottom-water drive in the Tahe Oilfield,Tarim Basin,Northwest China

The dissolution and diffusion of CO_(2)in oil and water and its displacement mechanism were investigated by laboratory experiment and numerical simulation for Block 9 in the Tahe oilfield,a sandstone oil reservoir with strong bottom-water drive in Tarim Basin,Northwest China.Such parameters were analyzed as solubility ratio of CO_(2)in oil,gas and water,interfacial tension,in-situ oil viscosity distribution,remaining oil saturation distribution,and oil compositions.The results show that CO_(2)flooding could control water coning and increase oil production.In the early stage of the injection process,CO_(2)expanded vertically due to gravity differentiation,and extended laterally under the action of strong bottom water in the intermediate and late stages.The CO_(2)got enriched and extended at the oil-water interface,forming a high interfacial tension zone,which inhibited the coning of bottom water to some extent.A miscible region with low interfacial tension formed at the gas injection front,which reduced the in-situ oil viscosity by about 50%.The numerical simulation results show that enhanced oil recovery(EOR)is estimated at 5.72%and the oil exchange ratio of CO_(2)is 0.17 t/t.

Quantitative characterization of deep fault-karst carbonate reservoirs: A case study of the Yuejin block in the Tahe oilfield

The Ordovician reservoirs in the Tahe oilfield are dominated by fractured-vuggy carbonate reservoirs, of which fault-karst reservoirs are a hot topic in recent years. Fault-karst reservoirs feature high production, large burial depth, and strong heterogeneity under the control of faulting and karstification. Based on geological, logging, and seismic data, this study classified the Ordovician fault-karst reservoirs in the Yuejin block of the Tahe oilfield into three types, namely karst-cave, dissolved-vug, and fractured types, and established the integrated identification criteria of the three types of reservoirs. This study characterized karst caves, dissolved vugs, and multi-scale faults through seismic wave impedance inversion and frequency-domain detection of multi-scale faults. 3D geological models of different types of reservoirs were built using the combined deterministic and stochastic methods and characterized the spatial distribution of multi-scale faults, karst caves, dissolved vugs, and physical property parameters of reservoir. This study established the method for the geological modeling of fault-karst reservoirs, achieved the quantitative characterization and revealed the heterogeneity of fault-karst reservoirs. The karst-cave and dissolved-vug types are high in porosity and act as reservoirs, while the fractured type is high in permeability and act as flow pathway. This study lays the foundation for the development index prediction, well emplacement, and efficient development of the fault-karst carbonate reservoirs.

Production evolution patterns and development stage division of waterflooding oilfields

The continuous growth of recoverable reserves in a waterflooding oilfield has a significant impact on the patterns of production evolution. A new production evolution model is established by improving the Weng Cycle model. With the new model, the statistical correspondence between the production decline stage and the reserve-production imbalance is clarified,and the correlation of water cut with the recovery percent of recoverable reserves is discussed, providing quantitative basis of reservoir engineering for dividing development stages of oilfield and defining mature oilfields. According to the statistics of oilfields in eastern China, the time point corresponding to the reserve-production balance coefficient dropping to less than 1dramatically is well correlated the beginning point of production decline, thus the time when the reserve-production balance coefficient drops dramatically can be taken as the initiation point of production decline stage. The research results show that the water cut and the recovery percent of recoverable reserves have a good statistical match in the high water cut stage, and it is more rational to take both the start point of production decline stage and the water cut of 90%(or the recovery percent of recoverable reserves of 80%) as the critical criteria for defining a mature oilfield. Five production evolution patterns can be summarized as follows: growth–peak plateau–stepped decline, growth–stepped stabilizing–stepped decline, growth–stepped stabilizing–rapid decline, growth–peak plateau–rapid decline, and growth–continuous decline.

Development technologies for Triassic Chang 7 shale oil in Ordos Basin: A case study of Qingcheng Oilfield, NW China

The reservoirs in the seventh member of the Triassic Yanchang Formation (Chang 7 Member) in the Qingcheng Oilfield of the Ordos Basin are characterized by thin sandbody, tight rocks, high heterogeneity, low formation pressure coefficient, and complex geomorphology. Through the efforts in the stages of exploration, appraisal, pilot testing and development, a series of key technologies have been formed, including “sweet spot” optimization, differentiated three-dimensional well deployment, fast drilling and completion of large-cluster horizontal well, intensively-staged volume fracturing in long horizontal well, and optimization of rational production system. Furthermore, a production organization mode represented by factory-like operations on loess platform has been implemented. Application of these technologies has enabled to significantly improve the single-well production of the Qingcheng Oilfield, reduce the investment cost, and realize a large-scale and beneficial development at a full cost below $55 per barrel. In 2022, the annual production of Chang 7 shale oil in the Ordos Basin reached 221×10^(4) t, accounting for 70% of the annual shale oil production of China. The practice of development technologies in the Qingcheng Oilfield provides valuable references for efficient development of continental shale oil.

Origin of gas condensate reservoir in Fuman Oilfield, Tarim Basin, NW China

To understand the reservoir property and hydrocarbon accumulation conditions of the Middle and Upper Ordovician intraplatform shoal between ultra-deep main strike-slip faults in Fuman Oilfield of the Tarim Basin, China, the main strike-slip faults in and around well FD1 in the basin were analyzed in terms of sedimentary facies, sequence stratigraphy, intraplatform shoal reservoir property, and oil and gas origins, based on drilling data. The Yingshan Formation intraplatform shoal between the main strike-slip faults is superimposed with low-order faults to form a new type of hydrocarbon play. Firstly, hydrocarbons generated from the Lower Cambrian Yuertusi Formation source rocks vertically migrated into the second member of Yingshan Formation through the main strike-slip faults, and then migrated laterally until they were accumulated. A small amount of oil from Well FD1 came from the Yuertusi Formation source rocks in the mature stage, and a large amount of gas originated from oil cracking in the ultra-deep reservoirs. Therefore, the secondary gas condensate reservoir in Well FD1 is characterized by high gas to oil ratio, dry gas (dryness coefficient being 0.970) and hybrid origin. This new type of hydrocarbon play characterized by intraplatform shoal and low-order fault suggests a prospect of continuous hydrocarbon-bearing area in Fuman Oilfield, which will expand the ultrap-deep oil and gas exploration in the oilfield.

Evaluation of reservoir environment by chemical properties of reservoir water‒A case study of Chang 6 reservoir in Ansai oilfield,Ordos Basin,China

The Ordos Basin is the largest continental multi-energy mineral basin in China,which is rich in coal,oil and gas,and uranium resources.The exploitation of mineral resources is closely related to reservoir water.The chemical properties of reservoir water are very important for reservoir evaluation and are significant indicators of the sealing of reservoir oil and gas resources.Therefore,the caprock of the Chang 6 reservoir in the Yanchang Formation was evaluated.The authors tested and analyzed the chemical characteristics of water samples selected from 30 wells in the Chang 6 reservoir of Ansai Oilfield in the Ordos Basin.The results show that the Chang 6 reservoir water in Ansai Oilfield is dominated by calcium-chloride water type with a sodium chloride coefficient of generally less than 0.5.The chloride magnesium coefficients are between 33.7 and 925.5,most of which are greater than 200.The desulfurization coefficients range from 0.21 to 13.4,with an average of 2.227.The carbonate balance coefficients are mainly concentrated below 0.01,with an average of 0.008.The calcium and magnesium coefficients are between 0.08 and 0.003,with an average of 0.01.Combined with the characteristics of the four-corner layout of the reservoir water,the above results show that the graphics are basically consistent.The study indicates that the Chang 6 reservoir in Ansai Oilfield in the Ordos Basin is a favorable block for oil and gas storage with good sealing properties,great preservation conditions of oil and gas,and high pore connectivity.

基于超音速膨胀凝结的油田伴生气脱二氧化碳研究

油田伴生气通常含有大量的二氧化碳等酸性气体,为了提升油田伴生气质量,必须对天然气进行脱二氧化碳处理;将超音速旋流分离技术用于伴生气脱除二氧化碳是一条全新路径,但二氧化碳在超音速流动条件下的冷凝特性有待进一步明晰。建立二氧化碳在喷管中的相变过程数学模型,讨论二氧化碳超音速凝结流动特性,分析入口温度和压力对二氧化碳超音速凝结特性的影响规律。结果表明:二氧化碳在喷管喉部之后的扩张段发生凝结,生成大量的二氧化碳液滴;随着喷管入口温度增加,尽管凝结的二氧化碳液滴数量增加,但喷管出口和中轴线上的液相质量分数减小,凝结位置越靠近喷管出口;随着喷管入口压力增加,混合气体在喷管出口的压力和温度升高、速度减小,二氧化碳在喷管内凝结产生的液滴数量减少,喷管出口和中心轴线上的液相质量分数越大。

塔里木油田超深层钻井技术进展及难题探讨

当前,塔里木油田以超深特深层为代表的深地油气资源开发对满足我国经济发展需求和保障能源安全至关重要。经过数十年的探索和实践,塔里木油田创新形成了超深复杂井井身结构设计、超深难钻地层钻井提速、超深大斜度井水平井钻井、超深复杂地层钻完井液、超深复杂地层固井、高温高压井完整性、超深复杂井井控等一系列超深层钻井技术,保障深地油气勘探获得重大突破并创造多项纪录。伴随超深井数量持续增加,工程地质条件更加复杂,井下环境更加苛刻,超深层钻井过程势必面临新的工程难题和挑战,严重制约深地油气资源安全高效开发。为此,通过概括塔里木油田钻井工程技术发展历程,系统梳理了深地钻井工程技术取得的主要技术进展,并结合新的勘探开发形势与油气开发要求,指出了塔里木油田钻井工程技术从超深层迈入特深层新时期的焦点问题及攻关发展方向,为国内外深地复杂油气井安全高效钻进提供借鉴和参考。

大庆油田裸眼井测井技术进展与展望

为了提高大庆油田裸眼井测井技术支撑能力和研究成果领先水平,全面回顾了大庆油田测井采集系列及解释技术的创新发展历程,系统总结了特高含水期剩余油解释、火山岩等复杂岩性测井评价、碎屑岩储量参数解释、非常规油气“甜点”分类、缝洞型碳酸盐岩储层测井评价等油田勘探开发测井评价技术。在客观分析大庆油田勘探开发测井解释评价需求和面临瓶颈问题的基础上,结合当前油田测井评价对象规模小、物性差、埋藏深、地层结构复杂、非均质性强的特点。指明了测井解释评价核心技术主攻方向。围绕新阶段测井采集及解释评价技术体系完善与建立,对高分辨率和成像测井采集、后油藏时期和非常规测井解释评价、新一代智能解释技术体系等未来发展进行了展望。

塔里木盆地塔河油田塔深5井震旦系原油地球化学特征及地质意义

塔深5(TS5)井于2021年完钻,井深9 017 m,是目前亚洲第一深井,同时也是塔里木盆地台盆区第一口在8 780~8 840 m的上震旦统白云岩段获得油气突破的钻井,也是继轮探1井寒武系盐下突破后,超深层白云岩领域的又一重大发现。为了探究其油气成因,分别对TS5井震旦系凝析油和上部奥陶系重质油,及其邻区寒武系挥发油和奥陶系凝析油进行了有机地球化学特征对比。结果表明,TS5井震旦系凝析油和白云岩储层氯仿抽提物的正构烷烃系列均分布完整,指示了其生烃母质形成于强还原环境;其与奥陶系正常油-超重质油和雅克拉地区凝析油总体具有相似的生物标志化合物和碳同位素分布特征,反映均具有相似的油源;其等效镜质体反射率(Rc)值为1.7%,成熟度高于奥陶系重质油、寒武系挥发油,与邻区凝析油相当,处于高成熟阶段。综合生物标志化合物和碳同位素证据,推测TS5井震旦系油气源来自下寒武统玉尔吐斯组,其与上覆玉尔吐斯组泥页岩构成良好的储盖组合,喜马拉雅晚期来自周边较低部位玉尔吐斯组生成的高成熟凝析油气,沿斜坡运移至震旦系白云岩构造圈闭内形成了一定规模的凝析气藏。TS5井震旦系油气突破,发现了新的含油气层系,丰富了超深层油气成藏过程,为塔里木盆地超深层勘探指明了新的探索方向。

稠油化学复合冷采技术研究与应用

我国稠油储量可观,其中60%的是深层稠油,而主流的蒸汽吞吐等热采技术采收率不足20%;稠油资源开发潜力极大,积极探索新的开采方式以提高采收率是石油领域高质量发展的必然选择。本文着重阐述稠油化学复合冷采技术体系构建及其现场应用,为中深层稠油的新型绿色低成本接替技术发展提供有效方案。在分析稠油组分的基础上,细致剖析稠油结构致黏机理,包括化学降黏机理、降低启动压力梯度机理、提高驱油效果机理在内的提高采收率机理,以丰富理论认识。面向工程应用亟需,从水溶性降黏剂分子设计与合成、自组装调堵剂研发两方面出发,突破稠油绿色化学驱油体系。基于发展的稠油化学复合冷采技术,完成了3个稠油油田示范工程应用,在提高产油量、控制含水率方面取得了良好成效。进一步梳理了分子采油理论与技术、渗流理论与数值模拟技术等方面的后续发展要点,以为深层稠油的绿色高效开发接替技术研究、稠油化学复合冷采技术推广应用研究等提供启发和参考。

油田管道防垢的超疏水涂层的制备和性能研究

为解决管道结垢带来严重的经济损失和安全隐患,将超疏水涂层喷涂在管道内壁表面形成一层保护膜,以阻止流体与管壁的直接接触,研究以环氧树脂为基体,通过添加二氧化硅和氧化铝来构建表面微纳米结构,设计制备了EP-SiO_(2)/Al_(2)O_(3)超疏水涂层,通过调控2种无极纳米粒子的添加量优化涂层配方,并考察EP-SiO_(2)/Al_(2)O_(3)复合涂层的疏水和防垢性能。结果表明,当各投入5.1%SiO_(2)和5.1%Al_(2)O_(3)时涂层附着力为1级,同时接触角可达154.6°,复合涂层的垢结量明显降低,仅为同等状态下环氧涂层的16.5%。为减少油田管道的结垢和腐蚀,提高油田的经济效益和安全效益提供可行途径。

塔里木盆地富满断控破碎体油藏储集类型特征与注水替油效果

塔里木盆地走滑断裂控制的超深油气藏是近年来中国油气勘探开发最重要领域之一,但目前该类型油藏的储集空间类型并不清楚,不同储集空间类型与注水效果关系不明确,严重制约了富满油田的高效开发。在充分分析野外露头、岩心、成像测井以及动态监测资料的基础上,系统剖析了断控破碎体的3种主要储集空间类型及其与注水效果的关系。提出了断控破碎体的概念,指出富满油田主要为断控破碎体油藏,研究结果表明:①断裂空腔型储集体主要分布在断裂带的核部,由断层滑动面产状变化引发内部体积调整形成了“空腔”型洞穴。埋藏条件下的储集空间相对较为封闭,内部孔隙空间较大,注水后原油置换率较高,部分油井动用储量的注水采收率可高达93%。②角砾间孔隙型储集体主要分布在断裂带的核部,由相邻的角砾相互支撑而形成角砾间不规则储集空间类型。该类储集体分布较为均匀,孔隙度中等,单位压降下的产液量较高,但是由于储集空间内部连接并不通畅,注水后置换率较低,需要研究探索构建立体结构井网来提高开发效果。③构造裂缝型储集体主要分布在断裂带的损伤带和过程带,在断层带的两侧和端部发育形成一定宽度的裂缝带。裂缝带周边也会发育少量孔隙,部分区域会形成一定的渗流优势通道,因此注入水的流失量较大,注水效果相对于断裂空腔型储集体较差。研究成果支撑了富满油田上产原油350×10^(4) t,可助推注水开发方案和提高采收率方案的优化,对同类型油藏高效开发具有重要的借鉴意义。

滨里海盆地东缘北特鲁瓦油田石炭系层序地层与沉积演化特征

根据三维地震、测井及钻井取心等资料,结合Vail的层序划分方案,在滨里海盆地东缘北特鲁瓦油田石炭系碳酸盐岩台地内识别出7个地震层序界面及7个钻井层序界面,并将KT-Ⅰ油层组划分为3个半三级层序,KT-Ⅱ油层组划分为3个三级层序。纵向上层序格架内沉积环境由开阔台地、局限台地至蒸发台地演化。根据研究区层序格架内的古地貌恢复及沉积演化研究,将研究区古地貌—沉积演化划分为3个阶段:台地初始隆坳分异期(SQ2-SQ3层序)、差异抬升与沉积分异定型期(SQ4层序)及继承发育期(SQ5-SQ7层序)。进一步分析认为,层序格架控制下的隆坳格局分异控制了白云岩亚类在平面上的分布,低部位以泥晶云岩—膏盐岩组合和泥晶云岩—泥晶灰岩组合为主,主要为潟湖相沉积;而高部位则以泥粉晶云岩、细粉晶云岩和残余颗粒泥晶云岩为主,发育云坪相及云化颗粒滩相沉积。结果表明,区内KT-Ⅰ油层组沉积期并非前人认为的西高东低剥蚀后沉降充填,而是继承性差异沉降的结果,古地理格局总体具有“东台西槽、北高南低”特征,其始终控制着有利相带和优质储集层的发育展布。这一认识对滨里海地区油气勘探开发战略选区具有重要的指导作用。

高含水老油田化学驱综合治理新方法及工程实践路径

针对胜利高含水老油田化学驱在科学、技术、管理、工程四个角度面临的开发矛盾,以渤76块为典型单元,在工程实践中进行具体对策分析,构建了“适、专、快、集”的老油田化学驱综合治理新方法。“适”指在老油田科学开发方式转化上,构建不同油藏类型老油田化学驱最佳介入时机模型,提出了在含水率相对较低的阶段,是适合化学驱的有利时机,高效开发方式需“适”介入。“专”指在老油田开发技术应用上,改变传统聚合物先溶解后注入的开发思路,研制可控相转化聚合物,使聚合物先注入后溶解,解决炮眼剪切降解的难题,提高油水流度控制能力,老油田开发矛盾需“专”治理。“快”指在老油田综合管理模式上,改变传统方式,即矿场提问题、研究院设计方案、化工厂生产驱油剂的“串联”管理模式,提出充分发挥矿场、研究院、生产厂三方优势的“并联”管理模式,形成针对单一油藏的产品工业化工艺包以及产业化落地方案,老油田开发技术实现“快”转化。“集”指在老油田工程应用实践上,打破老油田化学驱地面大规模建站的工程工艺模式,采用集约化撬装配注设备,实现老油田化学驱的集约快速配注,老油田工程工艺实现“集”应用。运用上述方法,在胜利油田渤76块综合含水率上升初期,实施由水驱转为可控相转化聚合物驱,实施后一年即见到明显的降水增油效果,单井日产油水平增加8.6t/d,综合含水率降低3.1%,验证了综合治理模式的可行性,为高含水老油田化学驱高效开发提供了有效路径。

油田光热利用技术路线及解决方案研讨

在全球气候危机及全国“双碳”目标下,油气田企业加快绿色转型发展,推进低碳化油气生产。化石燃料占油气田生产过程能耗70%以上,光热利用是油气田清洁热力替代的主要方向。通过对工业光热应用领域各种主动式太阳能集热技术特点进行对比,分析油田多种用热环境的温位需求,认为光热技术多样性与油田用热需求多样性具有较高的匹配度。围绕油田多种用热环境,分析了单井拉油热电联供、小规模光热高效替代、大规模光热系统互联共享、复杂用热环境下光热梯级利用等多元化技术路线。针对光热项目在油田落地难度大的问题,从项目筛选、规模确定、系统设计、协同优化、能源管控等方面给出实施路径。油田光热利用方案制定中,因地制宜制定逐步清洁替代顺序是提高替代效益的关键,上下游系统思维及运行策略优化是设计方案优化的前提,严谨的可比性及全生命周期评估是多方案优选的基础,开展各种用热环境的研究实践是提高方案质量的重要路径。建议油田企业在实践中逐步深化认识,持续优化光热利用方案,规模化推动方案落地,进一步推动油气与新能源融合发展。

四妙勇安汤负压滴灌治疗湿热内蕴型糖尿病足伴严重下肢缺血患者的临床观察

目的观察四妙勇安汤负压滴灌治疗湿热内蕴型糖尿病足伴严重下肢缺血患者的临床疗效。方法选取2021年6月—2023年10月期间邢台医学高等专科学校附属二院收治的糖尿病足(Diabetic foot,DF)伴严重下肢缺血(Critial limb ischemia,CLI)患者60例,采用随机数表法分为对照组和观察组,每组各30例,术前WIFI分级评估,进行相应的血管腔内治疗,血运重建成功后,分别行坏疽趾或趾列开放性切除或溃疡清创术,其中对照组术后采用负压封闭引流(VSD)进行治疗,观察组术后采用四妙勇安汤负压滴灌治疗,1周后拆除VSD敷料查看创面情况,创面内组织细菌培养阴性后,行创面修复,直至创面愈合,分别检测治疗1、2周后血清C反应蛋白(C-reactive protein,CRP)、降钙素原(Procalcitonin,PCT),治疗2周后创面细菌转阴率;检测治疗2周后经皮氧分压(Transcutaneous oxygen pressure,T_(C)PO_(2))及踝肱指数(Ankle-brachialindex,ABI)、创面愈合时间及不良反应。结果治疗后观察组总有效率90.00%(27/30)明显高于对照组80.00%(24/30),差异有统计学意义(P<0.05)。治疗后两组患者CRP、PCT水平均较治疗前降低,差异有统计学意义(P<0.05);且观察组CRP、PCT水平明显低于对照组,差异有统计学意义(P<0.05)。治疗后观察组创面细菌转阴率90%(27/30)明显高于对照组70%(21/30),差异有统计学意义(P<0.05)。治疗后两组患者T_(C)PO_(2)水平均较治疗前升高,差异有统计学意义(P<0.05);且观察组T_(C)PO_(2)水平明显高于对照组,差异有统计学意义(P<0.05),观察组ABI指数与对照组比较,治疗前后差异无统计学意义(P>0.05)。治疗后观察组创面愈合时间(28.63±5.30)d明显优于对照组(40.87±5.14)d,差异有统计学意义(P<0.05)。治疗期间,两组患者均无过敏、肿胀、感染加重等不良反应发生。结论四妙勇安汤负压滴灌治疗糖尿病足伴严重下肢缺血腔内治疗术后湿热内蕴型可有效控制感染,改善局部微循环,缩短创面愈合时间,具有临床应用及推广价值。