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：

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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

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12.	郭春蘭, 鄧紅艷, 屈紅玲. 不同銀敷料在慢性傷口治療中應用效果的對比研究[J]. 護理研究, 2015(10):1170-1175.
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16.	郭春蘭, 鄧紅艷. 含銀敷料輔助治療糖尿病足潰瘍感染的效果觀察[J]. 華西醫學, 2014, 29(9):1611-1614.

1. 許樟榮. 內科學[M]. 北京:人民衛生出版社, 2007:505-552.
2. 趙琛. 針對性健康教育對糖尿病足患者傷口愈合療效的觀察[J]. 中外醫學研究, 2015, 13(11):81-83.
3. 柏建榮. 糖尿病足患者多藥耐藥菌發生原因及危險因素[J]. 世界最新醫學信息文摘, 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, 王正國, 盛志勇. 正常創傷修復與"失控"創傷修復的研究現狀與展望[J]. 中國修復重建外科雜志, 2001, 15(6):385-388.
7. 蔣琪霞, 李曉華, 周昕, 等. 三乙醇胺乳膏濕敷創傷傷口的療效評價及其愈合計分的可行性分析[J]. 護理學報, 2012, 19(13):53-57.
8. 蔣琪霞. 傷口護理臨床實踐指南[M]. 南京:東南大學出版社, 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. 龔映. 兒童創傷創面銅綠假單胞菌耐藥性及其與抗生素使用的相關性分析[D]. 重慶:重慶醫科大學, 2014.
11. 梁尊鴻, 潘云川, 蔣佩如, 等. 慢性難愈合創面病原菌分布及體外耐藥性分析[J]. 中華損傷與修復雜志:電子版, 2012(4):351-354.
12. 郭春蘭, 鄧紅艷, 屈紅玲. 不同銀敷料在慢性傷口治療中應用效果的對比研究[J]. 護理研究, 2015(10):1170-1175.
13. Anon. Silver dressings-do they work?[J]. Drug Ther Bull, 2010, 48(4):38-42.
14. 朱平, 嚴勵. 糖尿病足創面敷料研究進展[J]. 國際內分泌代謝雜志, 2009, 29(5):318-320.
15. 肖群. 新型敷料在糖尿病足護理應用中的效果觀察[J]. 齊齊哈爾醫學院學報, 2013, 34(20):3108-3109.
16. 郭春蘭, 鄧紅艷. 含銀敷料輔助治療糖尿病足潰瘍感染的效果觀察[J]. 華西醫學, 2014, 29(9):1611-1614.

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West China Medical Journal

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

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