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油调膏配合负压封闭引流治疗湿热毒盛型糖尿病足疗效分析
牛胜男,李国信,李世征,侯俊杰
0
辽宁中医药大学沈阳 110032;辽宁中医药大学附属第二医院沈阳 110032;辽宁中医药大学附属医院沈阳 110032
摘要:
目的:总结油调膏配合负压封闭引流治疗湿热毒盛型糖尿病足的疗效。方法:回顾40例湿热毒盛型糖尿病足患者的临床资料,均采用油调膏外用、创面清创后负压封闭引流治疗。结果:40例患者中38例创面愈合出院,愈合时间14~30天,平均(16.58±1.60)天。住院时间15~33天,平均(18.58±4.12)天。未愈合2例,出院后随访1个月内愈合。愈合病例均随访2个月,无复发病例。40例患足治疗前创面大小积分(2.33±1.25)与治疗后创面大小积分(0.075±0.03)、治疗前深度积分(3.23±1.78)与治疗后深度积分(0.05±0.02)、治疗前肉芽情况积分(2.78±1.46)与治疗后肉芽情况积分(0.05±0.02)、治疗前肿胀范围积分(2.95±1.51)与治疗后肿胀范围积分(0.03±0.01)、治疗前脓液情况积分(2.98±1.53)与治疗后脓液情况积分(0)五个方面均具有明显差异(均P<0.05),治疗后局部体征明显改善。结论:油调膏外用配合清创及负压封闭引流治疗可有效治疗湿热毒盛型糖尿病足。
关键词:  油调膏  糖尿病足  湿热毒盛证  负压封闭引流  植皮
DOI:10.3969/j.issn.1007-6948.2021.02.031
投稿时间:2020-03-01
基金项目:辽宁省自然科学基金项目(20180550302)
Treatment of 40 Cases of Type Diabetes Foot with Damp-heat and Excessive Toxin by Oil Adjusting Paste Combined with Vacuum-assisted Closure
NIU Sheng-nan,LI Guo-xin,LI Shi-zheng
Abstract:
Objective To summarize the curative effect of the combination of oil-regulating ointment and vacuum-assisted closure in treating the foot of type diabetes mellitus with damp-heat and toxin. Methods The clinical data of 40 cases of diabetic foot with damp-heat and toxic excess type were reviewed. All cases were treated by external application of ointment, wound debridement, vacuum-assisted closure or skin grafting. Results 38 of 40 patients were discharged from hospital with wound healing time ranging from 14 to 30 days (mean 16.58 to 1.60 days). The length of hospitalization were 15~33 days, the average (18.58~4.12) days. 2 cases were not healed, and the healed within 1 month after discharge. All the cases were followed up for 2 months, and no recurrence occurred. Conclusion It is effective to treat damp-heat and toxin-abundant diabetic foot with external application of oil-adjusting ointment combined with debridement and vacuum-assisted closure or combined with skin grafting.
Key words:  Oil adjusting paste  diabetic foot  excess of damp-heat and toxin  negative pressure sealing drainage  skin graft

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