[1]郑宁宁,薛绍鸥,贺达,等.骨膜牵张术联合抗生素骨水泥治疗糖尿病足的效果分析[J].中国中医骨伤科杂志,2024,32(06):52-56.[doi:10.20085/j.cnki.issn1005-0205.240611]
 ZHENG Ningning,XUE Shaoou,HE Da,et al.Efficacy Analysis of Periosteal Distraction Combined with Antibiotic Bone Cement on the Treatment of Diabetic Foot[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(06):52-56.[doi:10.20085/j.cnki.issn1005-0205.240611]
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骨膜牵张术联合抗生素骨水泥治疗糖尿病足的效果分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年06期
页码:
52-56
栏目:
临床论著
出版日期:
2024-06-15

文章信息/Info

Title:
Efficacy Analysis of Periosteal Distraction Combined with Antibiotic Bone Cement on the Treatment of Diabetic Foot
文章编号:
1005-0205(2024)06-0052-05
作者:
郑宁宁1薛绍鸥1贺达1刘其赞1刘振利1△
1沧州市中西医结合医院(河北 沧州,061000)
Author(s):
ZHENG Ningning1XUE Shaoou1HE Da1LIU Qizan1LIU Zhenli1△
1Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Cangzhou 061000,Hebei China.
关键词:
骨膜牵张术 抗生素骨水泥 糖尿病足 踝肱指数 下肢血管
Keywords:
periosteal distraction surgery antibiotic bone cement diabetic foot ankle brachial index lower limb blood vessels
分类号:
R587.2
DOI:
10.20085/j.cnki.issn1005-0205.240611
文献标志码:
A
摘要:
目的:分析骨膜牵张术联合抗生素骨水泥治疗糖尿病足(DF)的效果。方法:回顾性分析2021年3月至2023年6月收治的88例糖尿病足患者的资料,根据实施术式的不同分成手术组(43例,实施骨膜牵张术)和观察组(45例,在手术组基础上联合抗生素骨水泥)。比较两组患者创面愈合率、截肢率、下肢血管改善情况(内膜中层厚度、收缩期血管峰值血流速度(PSV))、趾端血氧饱和度(SPO2)、患足皮温、踝肱指数(ABI)、疼痛度(采用疼痛数字评价量表(NRS)评定)。结果:观察组患者创面愈合率为95.56%,与手术组的79.07%相比更高,差异有统计学意义(P<0.05); 截肢率为2.22%,与手术组的9.30%比较差异无统计学意义(P>0.05)。术后第3个月,两组内膜中层厚度均小于治疗前,差异有统计学意义(P<0.05); 收缩期血管峰值血流速度、趾端血氧饱和度、患足皮温、踝肱指数均高于治疗前,差异有统计学意义(P<0.05); 疼痛数字评价量表评分均低于治疗前,差异有统计学意义(P<0.05); 且观察组内膜中层厚度小于手术组,差异有统计学意义(P<0.05); 收缩期血管峰值血流速度、趾端血氧饱和度、患足皮温、踝肱指数高于手术组,差异有统计学意义(P<0.05); 疼痛数字评价量表评分低于手术组,差异有统计学意义(P<0.05)。结论:对糖尿病足患者实施骨膜牵张术联合抗生素骨水泥治疗,可改善患肢血管功能及血运,明显降低疼痛度,显著提高创面愈合效果。
Abstract:
Objective:To analyze the efficacy of periosteal distraction combined with antibiotic bone cement on the treatment of diabetic foot(DF).Methods:88 patients with DF from March 2021 to June 2023 were retrospectively analyzed.They were divided into surgical group(43 cases,periosteal traction surgery was performed)and observation group(45 cases,antibiotic bone cement was used based on the surgical group)based on different surgical procedures.The wound healing rate,amputation rate,improvement of lower limb blood vessels(intima media thickness,peak systolic blood flow velocity(PSV)),toe blood oxygen saturation(SPO2),foot skin temperature,ankle brachial index(ABI),and pain degree(evaluated using the pain numerical rating scale(NRS))were compared between the two groups.Results:The wound healing rate in the observation group was 95.56%,which was higher than 79.07% in the surgical group(P<0.05),there was no significant difference in the amputation rate of 2.22% compared to 9.30% in the surgical group(P>0.05).3 months after surgery,the thickness of the intima media in both groups was lower than before treatment(P<0.05),the PSV,toe SPO2,affected foot skin temperature,and ABI were higher than before treatment(P<0.05),and NRS score was lower than before treatment(P<0.05),and the thickness of the intima media in the observation group was smaller than that in the surgical group(P<0.05),while PSV,toe SPO2,affected foot skin temperature,ABI were higher than those in the surgical group(P<0.05),and NRS score was lower than that in the surgical group(P<0.05).Conclusion:The combination of periosteal distraction surgery and antibiotic bone cement treatment for DF patients can effectively improve the vascular function and blood circulation of the affected limb,significantly reduce pain,and significantly improve wound healing efficacy.

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备注/Memo

备注/Memo:
基金项目:沧州市2022年科技计划自筹经费项目(222106124)
通信作者 E-mail:czlzl0327@163.com
更新日期/Last Update: 2024-06-15