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目的:观察双黄液辅助治疗糖尿病足Ⅱ级溃疡的临床效果。方法:选择140例Ⅱ级糖尿病足溃疡的患者,随机分为两组,对照组采用溃疡蚕食清创与百多邦外用的换药方法。治疗组采用溃疡蚕食清创外用双黄液的换药方法,并联合应用康复干预。经28d治疗后,对两组患者糖尿病足溃疡治愈率、好转率、总有效率、溃疡面面积、创周浸润带变化、脓液渗出量、肉芽组织生长及疼痛积分指标进行统计学分析。结果:治疗组在溃疡治愈率、溃疡好转率、总有效率方面均显著高于对照组(P<0.05)。与对照组比较,治疗组溃疡面积显著减小,脓液渗出显著减少(P<0.05),肉芽显著生长(P<0.05),疼痛显著减轻(P<0.05)。结论:双黄液辅助治疗可明显提高糖尿病足Ⅱ级溃疡创面的愈合,值得临床推广。
Objective: To observe the clinical effect of double yellow liquid in the treatment of diabetic foot ulcer. Methods: A total of 140 patients with grade Ⅱ diabetic foot ulcer were selected and randomly divided into two groups. The control group was treated with decontamination of ulcer and top dressing of Bainubu Bang. The treatment group using ulcer nibbling debridement double yellow dressing method, and the combined application of rehabilitation intervention. After 28 days of treatment, the cure rate, improvement rate, total effective rate, ulcer area, change of invasive zone, pus exudation, granulation tissue growth and pain score of diabetic foot ulcer in both groups were statistically analyzed. Results: The treatment group was significantly higher than the control group in the cure rate of ulcer, the improvement rate of ulcer and the total effective rate (P <0.05). Compared with the control group, the ulcer area of the treatment group was significantly reduced, the pus effusion was significantly reduced (P <0.05), the granulation was significantly increased (P <0.05), the pain was significantly reduced (P <0.05). Conclusion: Shuang-huang adjuvant therapy can significantly improve the healing of diabetic foot ulcers and is worthy of clinical promotion.