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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Comparative Study of Nanocrystalline Silver Ion Dressings with Normal Saline Dressings in Diabetic Foot Ulcers
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Comparative Study of Nanocrystalline Silver Ion Dressings with Normal Saline Dressings in Diabetic Foot Ulcers

机译：糖尿病足溃疡中纳米晶银离子敷料与生理盐水敷料的比较研究

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Diabetic foot is a broad spectrum term which includes infection, ulceration and foot gangrene. Proper assessment of wound along with an aggressive multidisciplinary approach can reduce the risk of limb amputation. Wound dressings play an important role in diabetic foot care management. Nanocrystalline silver ion dressing is a newer modality that has been in consideration for the treatment of diabetic wounds.Aim: To analyse the effect of nanocrystalline silver ion dressings and its comparison with standard normal saline dressings in diabetic foot ulcers.Materials and Methods: This was a prospective study conducted in the Department of Surgery, Dayanand Medical College and Hospital, Ludhiana from January 2016 to June 2017. A total of 30 diabetic patients were included in the study and were equally divided into ? Study group and Control group randomly. The study group received nanocrystalline silver ion dressings while the controls received daily dressings with normal saline soaked gauges. Data regarding presence of wound discharge, type of discharge, granulation tissue, changes in the size of wound and presence of slough was recorded and analysed (Chi-square tests).Results: Study group showed better outcomes with 10 Patients (66.7%) being complete responders as compared to control group where 5 patients (33.3%) were complete responders. The wound discharge shifted from purulent to serous, faster in the study group. Granulation tissue formation and slough assessment was significantly better in study group.Conclusion: Nanocrystalline silver ion dressings is a cost effective option in diabetic foot ulcer management. It decreases the period of hospitalization and reduces the burden on the health care system.
机译：糖尿病足是一个广谱术语，包括感染，溃疡和足坏疽。适当的伤口评估以及积极的多学科方法可以降低肢体截肢的风险。伤口敷料在糖尿病足部护理管理中起着重要作用。纳米晶银离子敷料是治疗糖尿病伤口的一种新型治疗方法。目的：分析纳米晶银离子敷料在糖尿病足溃疡中的作用及其与标准生理盐水敷料的比较。材料和方法：这是一项于2016年1月至2017年6月在卢迪亚纳大亚南德医学院和医院外科进行的前瞻性研究。研究共纳入30例糖尿病患者，将其分为两组。研究组和对照组随机。研究组接受了纳米晶银离子敷料，而对照组接受了每日用生理盐水浸泡过的敷料。记录并分析有关创面分泌物，分泌物类型，肉芽组织，创面大小变化和脱落的数据（卡方检验）。结果：研究组显示10例患者的预后更好（66.7）相较于对照组（其中5例患者（33.3％）为完全反应者），完全反应者为％）。在研究组中，伤口分泌物从脓性转变为浆液性。研究组的肉芽组织形成和脱落评估明显更好。结论：纳米晶银离子敷料是治疗糖尿病足溃疡的一种经济有效的选择。它减少了住院时间，减轻了医疗保健系统的负担。

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