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我院2005年至2012年患者,年龄40岁~70岁,住院时间14~45天,其中观察组48人,病变1~3级38人,病变4~5级10人;对照组病变1~3级36人,病变4~5级12人,接受糖尿病足常规治疗:周身应用抗菌素;改善血循环;营养神经药物治疗,降糖。局部清创用药。观察组另外接受高渗盐水加胰岛素、抗菌素日两次泡脚,之后外用含银敷料、康复新等药物联合治疗。结果观察组完全愈合18人,按照病变分级好转2级以上27人,截肢3人;对照组完全愈合6人,病变分级好转2级以上14人,1级20人,截肢6人,病情加重或无变化4人。结论从病情好转程度及住院费用统计,观察组和对照组均有明显差异。
Our hospital from 2005 to 2012 patients, aged 40 to 70 years of age, hospitalized for 14 to 45 days, of which 48 were observed in the group of 38 lesions 1 to 3 lesions 4 to 5 10 lesions in the control group 1 ~ Level 3 36 people, lesions 4 to 5 12 people, to accept routine treatment of diabetic foot: whole body application of antibiotics; improve blood circulation; nutritional nerve drug treatment, hypoglycemic. Local debridement medication. In addition, the observation group received hypertonic saline plus insulin, antibacterial twice a day, followed by topical silver dressing and rehabilitation drug combination therapy. Results The observation group was completely healed in 18 cases. According to the grade of the lesion, 27 patients were over grade 2 and 3 were amputated. The control group was completely healed. The grade of the lesion improved more than 2 grade, 14 grade, 20 grade 1, 6 amputation. No change 4 people. Conclusion From the degree of improvement of the condition and hospitalization cost statistics, the observation group and the control group have significant differences.