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目的观察传统中药敷料与新型敷料治疗缺血性糖尿病足溃疡的疗效。方法将慢性缺血性糖尿病足患者78例,随机分为A、B、C三组,分别使用中药敷料(拔毒生肌散+黄连膏)、功能性敷料(银离子+水凝胶)和常规敷料治疗,观察三组溃疡清创时间,治疗时间,肉芽组织健康度和治愈率。结果中药敷料组(A组)治愈率明显优于B、C组(P<0.01),清创时间和治疗时间均短于功能敷料和常规敷料组(P<0.05)。结论中药敷料(拔毒生肌散+黄连膏)有助于清除感染和坏死组织,并提高慢性缺血性糖尿病足溃疡治愈率。
Objective To observe the curative effect of traditional Chinese medicine dressing and new dressing on ischemic diabetic foot ulcer. Methods 78 patients with chronic ischemic diabetic foot were randomly divided into three groups: A, B and C, with traditional Chinese medicine dressing (Danshulahengjisan + Huanglian paste), functional dressing (silver ion + hydrogel) The conventional dressings were treated to observe the debridement time, treatment time, granulation tissue health and cure rate in the three groups. Results The cure rate of Chinese medicine dressing group (A group) was significantly better than that of B and C groups (P <0.01). The debridement time and treatment time were shorter than that of functional dressing and conventional dressing group (P <0.05). Conclusion The traditional Chinese medicine dressing (Danshen Shengjisan + Huanglian Paste) helps to clear the infected and necrotic tissue and improve the cure rate of chronic ischemic diabetic foot ulcer.