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目的:将改良封闭负压引流技术应用于糖尿病伤口中,与传统敷料换药方法做比较,探讨改良封闭负压引流技术在糖尿病足患者治疗中的应用及护理效果。方法:选择2015年1月至2016年6月收治的糖尿病足患者45例,其中治疗组患者23例实施改良封闭负压引流术,对照组采用湿性敷料进行换药,治疗21天后比较2组患者抗生素使用天数、伤口愈合率、住院费用、患者满意度。结果:治疗组21天后,抗生素使用天数为(13.65±3.2)天,伤口愈合率(31.8±3.6)%,住院费用(8 369±143.6)元,患者满意度为(94.6±3.5)%。对照组抗生素使用天数(20.68±3.6)天,伤口愈合率(19.86±3.3)%,住院费用(9 786±158.4)元,患者满意度为(72.8±5.6)%。治疗组各项均优化于对照组。P<0.05。结论:糖尿病足采用改良封闭负压引流技术可以减少换药次数,加速伤口愈合,减轻患者痛苦,减轻护理工作量,减少住院费用,提高患者满意度。
OBJECTIVE: To compare the application of modified closed negative pressure drainage technology in diabetic wounds with traditional dressings dressing methods and to explore the application and nursing effect of modified closed negative pressure drainage in the treatment of diabetic foot patients. Methods: Forty-five patients with diabetic foot admitted from January 2015 to June 2016 were selected. Among them, 23 patients in the treatment group underwent modified closed negative pressure drainage and the control group were treated with wet dressing dressing. After 21 days of treatment, the patients in the two groups were compared Days of antibiotic use, wound healing, hospitalization costs, and patient satisfaction. Results: After 21 days of treatment, the number of days of antibiotic use was (13.65 ± 3.2) days, wound healing rate was (31.8 ± 3.6)%, hospitalization expense was (8369 ± 143.6) yuan, and patient satisfaction was (94.6 ± 3.5)%. In the control group, the days of antibiotic use (20.68 ± 3.6 days), wound healing rate (19.86 ± 3.3)%, hospitalization expense (9 786 ± 158.4) yuan, and patient satisfaction was (72.8 ± 5.6)%. All the treatment groups were optimized in the control group. P <0.05. CONCLUSION: Diabetic foot with modified closed negative pressure drainage technology can reduce the number of dressing changes, accelerate wound healing, reduce patient suffering, reduce nursing workload, reduce hospitalization costs and improve patient satisfaction.