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Insulin, Trilogy-2, Gentamycin Tri-Combined And Wet Compress The Clinical Treatment Of Diabetic Foot

Posted on:2010-03-23Degree:MasterType:Thesis
Country:ChinaCandidate:L ZhaoFull Text:PDF
GTID:2144360275461774Subject:Burns and Plastic Surgery beauty
Abstract/Summary:PDF Full Text Request
Objective:Combined application of insulin,trilogy - 2 and gentamycin wet diabetic foot ulcer wound treatment is the clinical effect of using gentamycin effect and singleMethod:78 cases were selected group since November 2008-2009 April ShouZhu according to the hospital diagnostic criteria diagnosed with niddm foot ulcers.The trial group and control group were treated in the whole body blood glucose control,including infections and improve nutrition support lower cycle,etc) and other symptomatic treatment based on the local drug.1 normal skin wound around the first use of 2.5%after disinfection,iodine 75%ethanol were off iodine.Maintain a relatively around the wound sterile environment.(0.9%sodium chloride,if the wound clean ulcer surface combined infection,according to remove necrotic tissue wounds. 3 20U insulin ordinary 10mg + + anisodamine injection 8 million U gentamycin + saline 10ml local shi fu 15~20min sterile gauze,package, taping fixed.If the wound is around,usable also red skin,add the gauze apply outer MianDian or disinfect square yarn bandage.4 the bandage daily, the secretion is less,the secretion and dry,but the wound or wound granulation growth of 1~3 d d interference,and wound healing.Every time when the bandage wound and observe the secretion of the ulcer size and growth,and granulomatous wound timely allocate drugs dosage and drugs. Using a single gentamycin method treatment group.Observe bow much secretion of two groups,the granuloma growth is an effective treatment for time,total curative effect evaluation of hospital teats completely rheumati arthritis,results:(1) for the wound out fresh granulation tissue,dry,scabby,2 for the wound efficiently decrease,some granulation tissue growth,secretion,3 for the wound is invalid without obvious change on admission,or a wider admission,depth Result:Through the statistical calculation,efficient and effective control of the differences are statistically significant differences in time,wound effectively also significant,and the control group is the high efficient,effective treatment group wound is short of control.Conclusion:In controlling blood sugar,nutritional support and other symptomatic treatment etc,using insulin,anisodamine and gentamycin combined wet apply in the treatment of diabetes foot than a single application effect of the effect is good. Gentamycin...
Keywords/Search Tags:diabetic foot therapy, wet compress, Insulin, anisodamine, Gentamycin
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