腰交感神经节微创介入置管连续给药在糖尿病足治疗中的应用价值

目的:探讨腰交感神经节微创介入置管连续给药在糖尿病足治疗中的应用价值。方法:选取2016年6月-2017年6月期间在我院诊治的40例糖尿病足患者。按随机数字表法分为研究组(n=20)和对照组(n=20)。对照组给予常规治疗,研究组使用腰交感神经节微创介入置管连续给药治疗。对比分析两组视觉模拟评分(VAS)、治疗总有效率、并发症发生情况。结果:两组治疗前VAS评分比较差异无统计学意义(P0.05);两组治疗后VAS评分均下降,且研究组较对照组降低(P0.05)。研究组治疗后的临床总有效率为95.00%(19/20),高于对照组的70.00%(14/20)(P0.05)。治疗后研究组踝肱指数(ABI)和皮温高于对照组,震动感觉阈值(VPT)低于对照组,差异均有统计学意义(P0.05);治疗后研究组患者溃疡愈合时间和住院时间短于对照组,两组比较差异具有统计学意义(P0.05)。两组治疗后并发症发生率比较无统计学差异(P0.05)。结论:使用腰交感神经节微创介入置管连续给药治疗糖尿病足,可显著提高治疗总有效率,减轻患者疼痛,缩短溃疡愈合时间及住院时间,减少截肢率,且安全性较好。

The Applied Value of Continuous Infusion by Lumbar Sympathetic Ganglion Minimally Invasive Interventional Catheterization in the Treatment of Diabetic Foot

ABSTRACT Objective: To Investigate the applied value of continuous infusion by lumbar sympathetic ganglion minimally invasive interventional catheterization in the treatment of diabetic foot. Methods: 40 patients with diabetic foot treated in our hospital from June 2016 to June 2017 were selected. The patients were randomly divided into study group (n=20) and control group (n=20) according to the random number method. The control group received conventional treatment, the study group applied continuous infusion by lumbar sympathetic ganglion minimally invasive interventional catheterization to treat. Visual analogue score (VAS), total effective rate, complications in the two groups were compared and analyzed. Results: There was no significant difference in VAS score between the two groups before treatment(P>0.05). VAS scores of both groups decreased after treatment, the study group was lower than the control group(P<0.05). The total clinical effective rate after treatment in the study group was 95.00% (19/20), higher than 70.00% (14/20) in the control group(P<0.05). After treatment, the ankle brachial index (ABI)and skin temperature in the study group were higher than those in the control group, and the vibration perception threshold (VPT) was lower than that in the control group, with statistical significance (P<0.05); the ulcer healing time and hospitalization time in the study group were shorter than those in the control group, with statistical significance (P<0.05). There was no difference in the incidence of postoperative complications between the two groups(P>0.05). Conclusion: Using lumbar sympathetic ganglion minimally invasive interventional catheterization for continuous treatment of diabetic foot can significantly improve the total effective rate of treatment, reduce the pain of patients, shorten the time of ulcer healing and hospitalization, reduce the rate of amputation, and have good safety.