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目的:探讨负压创面疗法联合胰岛素冲洗治疗糖尿病足的临床效果。方法:将57例患者随机分为对照组(负压创面治疗)和试验组(负压创面联合胰岛素冲洗组),观察创面愈合情况和时间。结果:试验组创面缩小率86.43±7.26%,对照组66.58±6.79%;试验组窦道关闭例数24例(80.00%),对照组17例(62.96%);实验组愈合时间14.36±4.46天,对照组18.65±5.87天,差异有统计学意义,p<0.05。结论:负压创面联合胰岛素冲洗治疗糖尿病足效果显著,值得临床推广。
Objective: To investigate the clinical effect of negative pressure wound therapy combined with insulin flushing on diabetic foot. Methods: Fifty-seven patients were randomly divided into control group (negative pressure wound treatment) and experimental group (negative pressure wound combined with insulin flushing group) to observe wound healing and time. Results: The reduction rate of wounds in experimental group was 86.43 ± 7.26%, 66.58 ± 6.79% in control group, 24 cases (80.00%) in control group and 17 cases (62.96%) in control group. The healing time in experimental group was 14.36 ± 4.46 days , Control group 18.65 ± 5.87 days, the difference was statistically significant, p <0.05. Conclusion: Negative pressure wound combined with insulin flushing is effective in treating diabetic foot, which is worthy of clinical promotion.