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目的:探讨持续冲洗VSD负压吸引治疗糖尿病足的观察与护理。方法:选择72例糖尿病足患者进行随机分组,对照组采用持续VSD负压吸引治疗,观察组采用持续冲洗VSD负压吸引治疗,护理人员从患者心理护理、引流管护理、饮食护理、基础护理及功能康复几方面采取相应护理措施护理患者,并观察记录患者创面情况。结果:观察组患者发生堵管少,能够充分引流出创面脓性分泌物,改善局部血运,促进创面肉芽组织快速生长,有效控制感染;对照组患者发生堵管多,创面肉芽组织生长缓慢,感染控制差,观察组明显优于对照组,P<0.05,差异具有统计学意义。结论:持续冲洗负压吸引在治疗糖尿病足患者中安全有效,不仅保障了引流管通畅,而且有效的引流促进创面肉芽组织形成和创面愈合,值得临床推广。
OBJECTIVE: To investigate the observation and nursing care of diabetic foot treated with VSD vacuum suction. Methods: Seventy-two patients with diabetic foot were randomly divided into control group and continuous VSD negative pressure treatment. The patients in observation group were treated with continuous flushing VSD negative pressure. The nursing staff from the patients psychological care, drainage tube care, dietary nursing, basic nursing and Functional rehabilitation in several ways to take appropriate nursing care patients, and observe the record of patients with wounds. Results: In the observation group, there were less occlusion, drainage of purulent secretions, local blood supply, rapid growth of wound granulation tissue and effective infection control. In the control group, there were more plugging tubes and wound granulation tissue grew slowly, Infection control was poor, the observation group was significantly better than the control group, P <0.05, the difference was statistically significant. Conclusion: Continuous vacuum suction is safe and effective in the treatment of patients with diabetic foot, which not only ensures the drainage tube patency, but also effective drainage to promote wound granulation tissue formation and wound healing, is worth clinical promotion.