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目的观察应用两种不同方法治疗糖尿病足的效果。方法选取2013年1月-2017年3月共收住院治疗糖尿病足患者79例,2013年1月-2014年12月共38例作为对照组,采用外科碘伏换药联合氨基多糖季胺盐治疗,2015年1月-2017年3月共41例作为试验组,采用外科碘伏换药联合医用壳聚糖治疗,按照疗效判断标准,统计创面愈合的时间天数。结果 2组糖尿病足溃疡创面均愈合,愈合率均为100.00%,但试验组愈合时间为(16.18±5.15)d短于对照组的(13.53±4.54)d,差异有统计学意义(χ~2=2.4301,P<0.05)。结论应用医用壳聚糖治疗糖尿病足病疗效优于氨基多糖季胺盐,可提高疗效。
Objective To observe the effect of applying two different methods to treat diabetic foot. Methods A total of 79 patients with diabetic foot admitted to hospital from January 2013 to March 2017 were selected. From January 2013 to December 2014, a total of 38 patients were used as control group. Surgical iodophor was used in combination with aminopolysaccharide quaternary ammonium salt , January 2015-March 2017 a total of 41 cases as the experimental group, the use of surgical iodophor replacement medicine combined with medical chitosan treatment, according to the therapeutic criteria, the number of days the wound healing time. Results The healing rates of wound healing in both diabetic foot ulcers were 100.00%, but the healing time in the experimental group was (16.18 ± 5.15) days shorter than that in the control group (13.53 ± 4.54) d, with significant difference (χ ~ 2 = 2.4301, P <0.05). Conclusion The therapeutic effect of medical chitosan on diabetic foot disease is better than quaternary ammonium salt of amino polysaccharide, which can improve the curative effect.