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黄柏液配合负压引流术治疗2型糖尿病难愈合性创面的临床研究

《中国中医药现代远程教育》[ISSN:1672-2779/CN:11-5024/R]

文章信息/Info

  • Title:Clinical study of Huangbai liquid combined with negative pressure drainage in the treatment of refractory wounds in type 2 diabetes mellitus

  • 卷期:2021年19卷24期

    • 作者:毛启东

    • 萍矿总医院内分泌科 江西萍乡  337000

    • Author(s):Mao Qidong

    • Department of Endocrinology, Pingxiang general hospital, Jiangxi 337000

    • 关键词:2型糖尿病;黄柏液;负压引流术;临床效果

    • Keywords: type 2 diabetes mellitus; Cortex Phellodendri solution; negative pressure drainage; clinical effect

    • 摘要:目的:探究2型糖尿病难愈合性创面应用黄柏液配合负压引流术的临床效果。方法:将我院2019年7月~2020年7月内救治的76例2型糖尿病难愈合性创面患者纳入研究,遵循随机分组方式,以此分为对照组与观察组,每组各38例,前者行常规治疗,后者在此基础上行黄柏液联合负压引流术治疗,分析治疗效果。结果:痊愈率比较,观察组痊愈率明显优于对照组,差异显著,P<0.05。临床各项指标比较,观察组的创面愈合时间、换药次数和住院时间均低于对照组,差异存在统计学意义(即P<0.05)。同时,VAS评分比较,观察组低于对照组,P<0.05。结论:实行黄柏液联合负压引流术疗效显著,有助于加快2型糖尿病难愈合性创面愈合,提高治疗效果,临床价值高。                                                                                                                                                                

    • Abstract:Objective: To explore the clinical effect of Huangbai liquid combined with negative pressure drainage on refractory wound of type 2 diabetes mellitus. Methods: 76 patients with refractory wound of type 2 diabetes treated in our hospital from July 2019 to July 2020 were included in the study, and were divided into control group and observation group according to the equal ratio grouping method, with 38 cases in each group. Results: the cure rate of the observation group was significantly better than that of the control group (96.15% > 82.69%), and the difference was significant (P < 0.05). The wound healing time, dressing change times and hospitalization time of the observation group were lower than those of the control group (P < 0.05). At the same time, the VAS score of the observation group was lower than that of the control group, P < 0.05. Conclusion: the effect of Huangbai liquid combined with negative pressure drainage is significant, which is helpful to accelerate the healing of refractory wounds in type 2 diabetes mellitus and improve the therapeutic effect.                                                                                                                                                                                                                

      2型糖尿病作为临床常见且高发的一种慢性疾病,具有遗传、易感等特性,发病率高,且随病情的进一步发展,周围血管及神经易出现病变,加剧微生物的入侵,继而促使患者足部出现感染、溃疡以及深层组织受损坏死等。糖尿病足感染作为2型糖尿病的常发病症,其病情复杂,多为难愈合性创面,一旦发生感染,患者易出现深部脓肿,甚至是骨髓炎等并发症,严重可发生坏死或是截肢,对其生命健康造成严重威胁。负压引流术现已被临床广泛用于治疗糖尿病难愈合性创面病症,有效促进伤口愈合,虽效果明显,但该术式还是存在一定的局限性。

    参考文献/References:

    [1]卢爱俊, 岳小燕, 李冬梅,等. 负压引流联合前列地尔治疗糖尿病足溃疡临床研究[J]. 内蒙古医科大学学报, 2018, 40(04):407-411
    [2]刘小聪, 王添花, 穆卫强, 等. 运用内外联合置管负压引流治疗难愈性创面的临床研究[J]. 基层医学论坛, 2018, 22(22):3053-3054.
    [3]张毅. 负压引流术联合持续冲洗法治疗糖尿病足创面感染的效果探究[J]. 当代医药论丛, 2020, 18(04):74-75.
    [4]吴春燕. 针对性护理开展于VSD负压治疗老年糖尿病慢性难愈合创面中的效果[J]. 中外医学研究, 2020, 18(06):121-123.
    [5]方瑞忠, 罗明雷, 马传玉. 高压氧联合复方黄柏液治疗肛周脓肿术后创面愈合的临床研究[J]. 中华航海医学与高气压医学杂志, 2018, 25(4):254-256,266.

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