Clinical Effect of Silver Ion Dressing Combined with Foam Dressing on Diabetic Foot Ulcers_West China Medical Journal

Authors：

 LIYan ¹ ,  LIXue ²

1. Department of Traditional Chinese Medicine, the Ninth People's Hospital A liated to Shanghai Jiaotong University, Shanghai 200011, P. R. China;
2. Nursing Department Community Health Centre of Wujiaochang Residential District, Shanghai 200433, P. R. China;

Corresponding author：

LIXue, Email: yuki821@163.com

Keywords：

Diabetic foot; Silver ion dressing; Foam dressing; Clinical curative effect evaluation

DOI：

10.7507/1002-0179.20150517

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To study the clinical effect of silver dressing combined with foam dressing in the treatment of diabetic foot ulcers. Methods Sixty patients with diabetic foot ulcer treated between January 2014 and January 2015 were selected to be randomly divided into experimental group (n=30) and control group (n=30). Patients in the experimental group (n=30) were treated with silver dressing combined with foam dressing which was changed every other day, while patients in the control group (n=30) were treated with 0.1% rivanol gauze and dressing was changed every day. The clinical effcacy of the two groups were compared and analyzed, and the wound closure index and recurrence rate were also analyzed. Results The total effective rate of the experimental group was 96.7%, which was significantly higher than that of the control group (80.0%) (P<0.05), and the wound closure indexes of the experimental group on day 21 [(81.87±4.81)%] and day 28 [(97.28±3.11)%] after the beginning of treatment was significantly higher than those of the control group [(64.06±3.03)%, (86.93±6.11)%] (P<0.05), and the recurrence rate within half a year after treatment of the experimental group was 13.0%, significantly lower than that of the control group (40.0%) (χ²=4.083, P=0.043). Conclusion Compared with traditional wound treatment, silver dressing combined with foam dressing in the treatment of diabetic foot ulcers has advantages with better curative effect, less pain and lower recurrence rate. It is worth clinical promoting.

Citation： LIYan, LIXue. Clinical Effect of Silver Ion Dressing Combined with Foam Dressing on Diabetic Foot Ulcers. West China Medical Journal, 2015, 30(10): 1805-1808. doi: 10.7507/1002-0179.20150517 Copy

1.	许樟荣. 内科学[M]. 北京:人民卫生出版社, 2007:505-552.
2.	赵琛. 针对性健康教育对糖尿病足患者伤口愈合疗效的观察[J]. 中外医学研究, 2015, 13(11):81-83.
3.	柏建荣. 糖尿病足患者多药耐药菌发生原因及危险因素[J]. 世界最新医学信息文摘, 2015(21):96.
4.	Gavin JR, Alberti KG, Davidson MB, et al. Report of the expert committee on the diagnosis and classi cation of diabetes mellitus[J]. Diabetes Care, 1997, 20(7):1183-1197.
5.	Ghanassia E, Villon L, Boegner C, et al. Long-Term outcome and disability of diabetic patients hospitalized for diabetic foot ulcers[J]. Diabetes Care, 2008, 31(7):1288-1292.
6.	付小兵, 王正国, 盛志勇. 正常创伤修复与"失控"创伤修复的研究现状与展望[J]. 中国修复重建外科杂志, 2001, 15(6):385-388.
7.	蒋琪霞, 李晓华, 周昕, 等. 三乙醇胺乳膏湿敷创伤伤口的疗效评价及其愈合计分的可行性分析[J]. 护理学报, 2012, 19(13):53-57.
8.	蒋琪霞. 伤口护理临床实践指南[M]. 南京:东南大学出版社, 2004:75.
9.	O'meara S, Al-Kurdi D, Ovington LG. Antibiotics and antiseptics for venous leg ulcers[J]. Cochrane Database Syst Rev, 2004(1): CD003557.
10.	龚映. 儿童创伤创面铜绿假单胞菌耐药性及其与抗生素使用的相关性分析[D]. 重庆:重庆医科大学, 2014.
11.	梁尊鸿, 潘云川, 蒋佩如, 等. 慢性难愈合创面病原菌分布及体外耐药性分析[J]. 中华损伤与修复杂志:电子版, 2012(4):351-354.
12.	郭春兰, 邓红艳, 屈红玲. 不同银敷料在慢性伤口治疗中应用效果的对比研究[J]. 护理研究, 2015(10):1170-1175.
13.	Anon. Silver dressings-do they work?[J]. Drug Ther Bull, 2010, 48(4):38-42.
14.	朱平, 严励. 糖尿病足创面敷料研究进展[J]. 国际内分泌代谢杂志, 2009, 29(5):318-320.
15.	肖群. 新型敷料在糖尿病足护理应用中的效果观察[J]. 齐齐哈尔医学院学报, 2013, 34(20):3108-3109.
16.	郭春兰, 邓红艳. 含银敷料辅助治疗糖尿病足溃疡感染的效果观察[J]. 华西医学, 2014, 29(9):1611-1614.

1. 许樟荣. 内科学[M]. 北京:人民卫生出版社, 2007:505-552.
2. 赵琛. 针对性健康教育对糖尿病足患者伤口愈合疗效的观察[J]. 中外医学研究, 2015, 13(11):81-83.
3. 柏建荣. 糖尿病足患者多药耐药菌发生原因及危险因素[J]. 世界最新医学信息文摘, 2015(21):96.
4. Gavin JR, Alberti KG, Davidson MB, et al. Report of the expert committee on the diagnosis and classi cation of diabetes mellitus[J]. Diabetes Care, 1997, 20(7):1183-1197.
5. Ghanassia E, Villon L, Boegner C, et al. Long-Term outcome and disability of diabetic patients hospitalized for diabetic foot ulcers[J]. Diabetes Care, 2008, 31(7):1288-1292.
6. 付小兵, 王正国, 盛志勇. 正常创伤修复与"失控"创伤修复的研究现状与展望[J]. 中国修复重建外科杂志, 2001, 15(6):385-388.
7. 蒋琪霞, 李晓华, 周昕, 等. 三乙醇胺乳膏湿敷创伤伤口的疗效评价及其愈合计分的可行性分析[J]. 护理学报, 2012, 19(13):53-57.
8. 蒋琪霞. 伤口护理临床实践指南[M]. 南京:东南大学出版社, 2004:75.
9. O'meara S, Al-Kurdi D, Ovington LG. Antibiotics and antiseptics for venous leg ulcers[J]. Cochrane Database Syst Rev, 2004(1): CD003557.
10. 龚映. 儿童创伤创面铜绿假单胞菌耐药性及其与抗生素使用的相关性分析[D]. 重庆:重庆医科大学, 2014.
11. 梁尊鸿, 潘云川, 蒋佩如, 等. 慢性难愈合创面病原菌分布及体外耐药性分析[J]. 中华损伤与修复杂志:电子版, 2012(4):351-354.
12. 郭春兰, 邓红艳, 屈红玲. 不同银敷料在慢性伤口治疗中应用效果的对比研究[J]. 护理研究, 2015(10):1170-1175.
13. Anon. Silver dressings-do they work?[J]. Drug Ther Bull, 2010, 48(4):38-42.
14. 朱平, 严励. 糖尿病足创面敷料研究进展[J]. 国际内分泌代谢杂志, 2009, 29(5):318-320.
15. 肖群. 新型敷料在糖尿病足护理应用中的效果观察[J]. 齐齐哈尔医学院学报, 2013, 34(20):3108-3109.
16. 郭春兰, 邓红艳. 含银敷料辅助治疗糖尿病足溃疡感染的效果观察[J]. 华西医学, 2014, 29(9):1611-1614.

Previous Article
中国伤口专科护理的发展
Next Article
沙利度胺联合三苯氧胺治疗Ⅳb期牙龈恶性黑色素瘤一例

West China Medical Journal

Clinical Effect of Silver Ion Dressing Combined with Foam Dressing on Diabetic Foot Ulcers

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content