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目的观察自拟冲洗液加冲吸式换药法治疗糖尿病足的疗效。方法将46例Wagner分级法2～3级糖尿病足患者随机分为治疗组(24例)和对照组(22例),2组均进行基础治疗后,对照组采用常规换药法,治疗组采用自行设计的冲吸式换药装置,加入自拟冲洗液治疗,30 d为1个疗程。结果治疗组总有效率91.7%,平均愈合时间(31±5.5)d,对照组总有效率63.6%,平均愈合时间(42±5.3)d,2组总有效率、平均愈合时间比较,差异均有统计学意义(P均<0.05)。结论自拟冲洗液加冲吸式换药法在Wagner 2～3级糖尿病足治疗中具有明显疗效。
Objective To observe the curative effect of self-developed irrigation solution and Chong-suction dressing method in treating diabetic foot. Methods Forty-six patients with diabetic Wagner grade 2 to 3 diabetic foot were randomly divided into treatment group (24 cases) and control group (22 cases). After two groups were treated with conventional therapy, the control group was treated with conventional dressing method. The treatment group Self-designed flush suction dressing device, adding self-rinse solution treatment, 30 d for a course of treatment. Results The total effective rate of the treatment group was 91.7%, the average healing time was (31 ± 5.5) days, the total effective rate was 63.6% in the control group, the average healing time was (42 ± 5.3) days, the total effective rate and the mean healing time were significantly different There was statistical significance (all P <0.05). Conclusions The self-developed flushing fluid plus flushing dressing method has obvious curative effect in treating Wagner grade 2 ~ 3 diabetic foot.