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目的探讨早期离断及外用中药治疗糖尿病足坏疽的临床效果。方法回顾性分析2015年1月1日至2015年12月1日糖尿病足坏疽90例患者的临床资料。将其分为两组,其中45例行早期离断及外用中药治疗为观察组,另45例行早期离断及常规换药治疗为对照组,比较两组总有效率、二次手术情况及患者满意度。结果治疗后,观察组总有效率、患者满意度均高于对照组(97.8%比82.2%,95.6%比73.3%),差异有统计学意义(P<0.05)。观察组二次手术率为2.2%,低于对照组的20.0%,差异有统计学意义(P<0.05)。结论早期离断及外用中药治疗糖尿病足坏疽,可提高患者满意度,值得临床推广应用。
Objective To investigate the clinical effects of early disconnection and external application of traditional Chinese medicine on diabetic foot gangrene. Methods The clinical data of 90 patients with diabetic foot gangrene were retrospectively analyzed from January 1, 2015 to December 1, 2015. Divided into two groups, of which 45 cases of early disconnection and topical Chinese medicine treatment for the observation group, the other 45 cases of early disconnection and conventional dressing treatment for the control group, the two groups were compared the total efficiency, secondary surgery and Patient satisfaction. Results After treatment, the total effective rate and patient satisfaction in the observation group were higher than those in the control group (97.8% vs. 82.2%, 95.6% vs. 73.3%, respectively). The difference was statistically significant (P <0.05). The second operation rate in observation group was 2.2%, which was lower than that in control group (20.0%) (P <0.05). Conclusions The treatment of diabetic foot gangrene by early disconnection and external application of traditional Chinese medicine can improve patient satisfaction and is worthy of clinical application.