论文部分内容阅读
目的观察中西医结合治疗小面积糖尿病足部溃疡的临床效果。方法将58例小面积糖尿病足部溃疡患者随机分为两组。综合护理组30例,采用外科常规清创+红外线照射创面+生肌长皮膏纱条等综合护理措施。对照组28例,采用外科常规清创+0.5%呋喃西林纱条湿敷。临床观察两组患者创面愈合进展情况、平均愈合时间以及创面细菌培养阳性率。结果综合护理组创面平均愈合时间(29.6±9.4)d,较对照组(39.2±13.5)d,显著缩短,差异有统计学意义(P<0.05)。第7天和第14天创面细菌培养阳性例数两组间比较,差异有统计学意义(P<0.05)。结论在常规内科治疗和一般护理措施基础上,外科清创+生肌长皮膏的中西医结合护理措施,对小面积糖尿病足部溃疡具有较好的促进愈合效果。
Objective To observe the clinical efficacy of integrated traditional Chinese and western medicine in treating small area diabetic foot ulcer. Methods 58 cases of small area diabetic foot ulcer were randomly divided into two groups. Comprehensive care group of 30 cases, the use of conventional surgical debridement + infrared radiation wounds + myogenic long cream gauze and other comprehensive care measures. The control group of 28 cases, using surgical routine debridement + 0.5% nitrofurazone gauze wet compress. Clinical observation of two groups of patients with wound healing progress, the average healing time and wound bacterial culture positive rate. Results The mean wound healing time of the comprehensive nursing group was significantly shorter (29.6 ± 9.4) d than that of the control group (39.2 ± 13.5) d, with significant difference (P <0.05). On the 7th and 14th days, the number of bacterial culture positive cases in the wounds between the two groups showed significant difference (P <0.05). Conclusion Based on routine medical treatment and general nursing measures, the combination of traditional Chinese and Western medicine of surgical debridement and myogenic long-skin cream can promote the healing of small-area diabetic foot ulcers.