摘要：目的：观察、分析水凝胶(清得佳)对糖尿病足(Diabetes Foot DF) 的治疗效果。方法：同期观察60例DF患者，分成两组，在基础治疗相同的情况下，治疗组(30例)采用在创面上均匀涂上一层约1～2cm厚度的水凝胶(清得佳)外用包扎治疗。对照组(30例)采用复合碘外用治疗。观察水凝胶(清得佳)对DF 创面的动态变化(脱腐、肉芽生长、表皮生长的情况)。结果：治疗组总有效率为100%，对照组为82%，治疗组疗效优于对照组(P<0.01)。水凝胶外敷创面是一种湿润疗法,对创面无刺激，可为创面提供一个良好的、适合生长的湿润生态环境，并在改善DF创面的基底条件、促进肉芽及表皮生长方面，疗效优于复合碘(P<0.05)。结论：水凝胶(清得佳)治疗DF有较好疗效。

     关键词： 水凝胶(清得佳)； 糖尿病足； 复合碘

    Analysis of Clinical Therapeutic Effect in Diabetes Foot Patients with Hydrogel

    LI Qing-hui

    (The First Municipal People’s Hospital of Guangzhou, Guangdong Guangzhou 510180, China)

    Abstract： Objective： To investigate and analysis the therapeutic efficacy of hydrogel in Diabetes Foot (DF).Method: Sixty DF patients were randomly divided into two groups;based on the same basic treatment,1)Hydrogel group(n=30):the raw surface was overlayed with 1～2cm thickness hydrogel,then bandaged.2)control group(n=30):the raw surface was treated with the compound iodine.To explore the dynamic changes( the condition of aporotten,granulation growth and epidermis growth) of raw surface after using the hydrogel.Result:Hydrogel group’s total effective power has reached 100%,which was obviously better than in control group(only 82%,P<0.01) The raw surface overlayed with hydrogel was a moist therapy with no stimulus-reaction,which could provide a favourable and suitable ecological environment for growth;which could also improve the basal body condition of the raw surface and enhance the growth of granulation and epidemis,its therapeutic effect was better than compound iodine(P<0.05).Conclusion:Hydrogel has a very good therapeutic effect in DF patients. ......