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目的:评价皮肤创面无机诱导活性敷料(德莫林)联合高压氧治疗糖尿病足慢性溃疡的疗效。方法:60例糖尿病慢性足溃疡患者随机分为3组各20例,A组用德莫林加高压氧治疗,B组单纯高压氧治疗,C组用银离子敷料加高压氧治疗。比较3组有效率、愈合率和愈合时间。结果:A组有效率85.0%,治愈率65.0%,平均愈合时间(62.5±3.6)d,截肢1例,各项指标均优于B、C两组(P<0.05)。结论:使用德莫林加高压氧治疗糖尿病足溃疡能够提高治疗有效率、治愈率,缩短治愈时间,减少截肢。
OBJECTIVE: To evaluate the efficacy of inorganic dextrose-inducing dressings (de mulin) combined with hyperbaric oxygen in the treatment of chronic ulcer of diabetic foot. Methods: Sixty diabetic patients with chronic foot ulcer were randomly divided into 3 groups (n = 20 in each group). Group A was treated with dexmethalin hyperbaric oxygen. Group B was treated with hyperbaric oxygen alone. Group C was treated with silver ion dressing plus hyperbaric oxygen. The efficiency, healing rate and healing time of the three groups were compared. Results: The effective rate was 85.0% in group A, the cure rate was 65.0%, the average healing time was 62.5 ± 3.6 days, and amputation was performed in 1 case. All the indexes were better than those in groups B and C (P <0.05). Conclusion: The treatment of Diabetic foot ulcer with demoline hydrochloride hyperbaric oxygen can improve the treatment efficiency, cure rate, shorten the cure time and reduce amputation.