自来水冲洗对糖尿病足溃疡愈合的疗效观察

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摘要目的探讨自来水冲洗对糖尿病足溃疡愈合的促进作用，寻找糖尿病足治疗的新途径。方法选取我院及南京军区福州总医院普外科2014年10月～2015年12月符合入组标准的糖尿病足患者40例，随机分为两组，每组20例。观察组给予氯消毒并达到规定标准的自来水冲洗溃疡面，1次/d；对照组给予1次/d碘伏常规换药。采用创面照相法记录治疗后第4、8、12、16天溃疡面积；第16天后比较两组创面局部换药治疗所需费用及治疗总有效率。　结果随着治疗的推进，两组溃疡面积均逐渐缩小，治疗第4天及第8天后两组溃疡面积比较，差异无统计学意义（P＞0.05），第12天及第16天后观察组较对照组溃疡面积缩小更明显，差异有统计学意义（P＜0.05）。治疗第16天后，对照组局部溃疡治疗所需费用明显高于观察组（P＜0.05）；观察组总有效率为95%，明显高于对照组的80%，差异有统计学意义（P＜0.05）。　结论自来水冲洗治疗糖尿病足未增加创面感染风险，较常规换药可加快溃疡愈合，节约医疗费用，效果肯定，值得临床推广应用。

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	常贵建
	夏印
	吴淑桃
	林德新
	李旋

关键词 ：糖尿病足, 溃疡, 自来水

Abstract：Objective To investigate the tap water hea1ing-promoting effect on diabetic foot u1cer and expect to offer new means treatment.Methods 40 patients who were admitted in our hospita1 and Research Institute of Genera1 Surgery，Fuzhou Genera1 Hospita1 of Nanjing Mi1itary Command of Chinese PLA and met the inc1usion criteria from October 2014 to December 2015 were randomized into two groups，with 20 cases each group.Patients in the observation group were rinsed the u1cer with tap water once a day，whi1e patients of in the contro1 group dressed with Iodine vo1ts once a day.Wound photography method was used to record u1cer area on the 4th，8th，12th，16thday，tota1 efficiency rate and topica1 u1cer treatment costs were compared on the 16thday.Results U1cer area of two groups were diminishing with the advancement of treatment.There was no obvious difference on the 4thand 8thday　（P＞0.05），but the difference was significant on the 12thand 16thday（P＜0.05）.Cost of the contro1 group was higher than that of the observation group on the 16thday　（P＜0.05）.Tota1 effective rate of the observation group was 95%，higher than 80%of the contro1 group　（P＜0.05）.Conclusion Tap water does not increase the risk of u1cer infection.Compared with conventiona1 treatment way，tap water dressing method can significant1y speed up the u1cer hea1ing and cut down the cost of hea1th care.It＇s worthy of c1inica1 popu1arization and app1ication.

Key words： Diabetic foot U1cer Tap water

作者简介: 常贵建（1984-），男，山东菏泽人，硕士，主要从事乳腺肿瘤与血管外科工作

引用本文:

常贵建;夏印;吴淑桃;林德新;李旋. 自来水冲洗对糖尿病足溃疡愈合的疗效观察[J]. 中国当代医药, 2016, 23(14): 28-30.
CHANG Gui-jian;XIA Yin;WU Shu-tao;LIN De-xin;LI Xuan. Observation of the effect of the taP water flushing on diabetic foot ulcer healing. 中国当代医药, 2016, 23(14): 28-30.

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