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目的评价银离子敷料治疗糖尿病足的临床疗效。方法将创面范围3～4 cm至4～6 cm 44例糖尿病足患者,随机分为银离子敷料治疗组(A)和对照组(B),A组用银离子敷料+水凝胶+湿疗伤口敷料治疗,B组采用单纯水凝胶、湿疗伤口敷料换药治疗。结果 A组能有效控制糖尿病足伤口创面感染,更快地促进创面肉芽组织和上皮再生。A组糖尿病足创面的平均痊愈时间(23.25±7.52)d,明显短于B组(29.16±7.20)d,渗液、异味差异有统计学意义(P<0.05)。结论银离子敷料+水凝胶+湿疗伤口敷料治疗糖尿病足感染创面的临床疗效较好。
Objective To evaluate the clinical effect of silver ion dressing on diabetic foot. Methods Forty-four 44 diabetic patients with diabetic foot wounds were randomly divided into silver ion dressing group (A) and control group (B). Group A was treated with silver ion dressing + hydrogel + moisturizing wound Port dressing treatment, B group using a simple hydrogel, wet wound dressing dressing change treatment. Results Group A can effectively control wound infection in diabetic foot wounds and promote wound granulation tissue and epithelial regeneration more quickly. The mean recovery time of diabetic foot wounds in group A was significantly shorter than that in group B (23.25 ± 7.52) d, which was significantly lower than that in group B (29.16 ± 7.20) d. There was significant difference in exudate and odor (P <0.05). Conclusion The silver ion dressing + hydrogel + wet wound dressing for the treatment of diabetic foot wounds have a better clinical curative effect.