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目的:观察银离子敷料联合高压氧治疗在糖尿病足溃疡创面护理中的效果。方法:68例糖尿病足患者随机分成对照组34例和试验组34例,对照组采用银离子敷料置于溃疡,试验组采用银离子敷料联合高压氧治疗,比较两组患者之间的视觉疼痛评分(VAS)、创口创面评分(WBS)、换药次数和满意率。结果:对照组VAS评分为(3.4±0.4),试验组VAS评分为(2.1±0.3),两组相比较差异有统计学意义(P<0.05);对照组WBS评分为(11.4±1.5),明显低于试验组的(16.6±2.8),差异有统计学意义(P<0.05);对照组和试验组换药次数分别为(26.4±4.1)次和(15.4±2.7)次,两组比较有统计学差异(P<0.05);对照组患者满意率为61.8%,明显低于试验组的(94.1%),两组相比较差异有统计学意义(P<0.05)。结论:银离子敷料联合高压氧治疗糖尿病足溃疡可显著加速创面愈合,减少换药次数、缓解患者疼痛并减轻护理工作量。
Objective: To observe the effect of silver ion dressing combined with hyperbaric oxygen on the wound care of diabetic foot ulcer. Methods: Sixty-eight patients with diabetic foot were randomly divided into control group (34 cases) and experimental group (34 cases). The control group was treated with silver ion dressing for ulcer. The experimental group was treated with silver ion dressing and hyperbaric oxygen therapy. Visual acuity scores (VAS), wound wound score (WBS), dressings frequency and satisfaction rate. Results: The VAS score of the control group was (3.4 ± 0.4) and that of the test group was (2.1 ± 0.3), there was significant difference between the two groups (P <0.05). The WBS score of the control group was (11.4 ± 1.5) (16.6 ± 2.8) in the experimental group was significantly lower than that in the experimental group (P <0.05). The number of dressing changes in the control group and the experimental group were (26.4 ± 4.1) and (15.4 ± 2.7) times, respectively (P <0.05). The satisfaction rate of the control group was 61.8%, which was significantly lower than that of the experimental group (94.1%). There was significant difference between the two groups (P <0.05). Conclusion: The silver ion dressing combined with hyperbaric oxygen treatment of diabetic foot ulcer can significantly accelerate wound healing, reduce the frequency of dressing change, relieve pain and reduce nursing workload.