局部氧疗在高原地区治疗糖尿病足坏疽疗效观察(1)
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【摘要】目的:探讨局部氧疗辅助治疗糖尿病足坏疽的疗效。方法:对41例糖尿病足坏疽患者随机分为对照组和治疗组,对照组20例患者32个创面,给予基础治疗和外治法治疗;治疗组21例患者30个创面,在基础治疗和外治法治疗的基础上治疗组每天局部氧疗1次,每次持续60min,每周治疗6天,4周一疗程。比较两组创面愈合所需的时间,创面愈合总有效率,并作统计学分析。结果:对照组创面创面愈合总有效率为65.63%,愈合时间为(24.89±4.23)天,治疗组创面创面愈合总有效率为93.33%,愈合时间为(18.77±4.63)天。对比项目在两组之间差异有统计学意义(P<0.01)。结论:局部氧疗可以加速糖尿病足坏疽创面的愈合,并且简单易行,无全身性的副作用。
【关键词】局部氧疗;糖尿病足;坏疽
【中图分类号】R2-031 【文献标识码】A 【文章编号】1008-6455(2011)12-0115-02
The plateau area partial oxygen treatment treats diabetes foot gangrene curative effect observation
Wang YunLi Li Yanzhi Zhang Yanli
【Abstract】Objective:Adjuvant treatment of local oxygen therapy of diabetic foot gangrene patients. Methods:41 cases of diabetic foot gangrene patients were randomly divided into control group and treatment group and control group of 20 examples with 32 wounds received conventional therapy; treatment group of 21 examples with 30 wounds on the basis of routine treatment of local oxygen therapy in treatment group 1 day times, each lasting 60min, 6 days per week treatment, 4 treatments on Monday. Two groups were compared the time required for wound healing, the percentage of wound healing, treatment efficiency, and for statistical analysis. . Results:Control group, wound healing time was (20.1±3.1) days, the treatment group (13.0±2.7) days; Wound healing in the control group was (71.8±12.1)%, the treatment group (96.1±5.5)%; The control group was 65.00% effective wound treatment, the treatment group was 100.00%. All items in comparison between the two groups were statistically significant differences (P<0.05). Conclusion:Local oxygen therapy can accelerate wound healing in diabetic foot gangrene, and simple, no systemic side effects.
【Key words】Local oxygen therapy;Diabetic Foot;Gangrene
糖尿病足坏疽是Ⅱ型糖尿病的严重并发症,坏疽期可出现干性溃疡和湿性溃疡,组织缺血坏死,合并感染,甚至需要截肢。我省地处高原地区,海拔2261米,由于高寒缺氧致创面局部氧供不足,组织修复缓慢,愈合时间延长。现对我院2007年1月~2010年10月住院的41例糖尿病足坏疽患者患者,在常规治疗的基础上加用局部氧疗,收到良好疗效,现报道如下。
1 资料与方法
1.1 一般资料:41例住院病人,符合1997年ADA诊断标准〖1〗。按随机分组设计原则分为治疗组例21例,对照组20例。治疗组中男性16例,女性5例;年龄42~83岁,平均(59.9±12.7)岁;糖尿病病程3~24.5年,平均(8.1±1.9)年;糖尿病足坏疽病程9~325 d,平均(69.4±15.7)d;来院时空腹血糖水平9.9~17.9 mmol/L ......
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