Singla Sanjeev, Singla Sundeep, Kumar Arun, Singla Mamta
Veer Chander Singh Garhwal Government Medical College &Hospital, Shrikot, Shrinagar, Uttaranchal India ; House number 44, Sector 6, Panchkula, Haryana 134109 India.
Indian J Surg. 2012 Dec;74(6):451-5. doi: 10.1007/s12262-012-0447-2. Epub 2012 May 1.
Diabetes mellitus may lead to amputation in 3 % of population. Risk for amputation is 15 folds in diabetics compared with nondiabetics. The aim of the study is to compare the outcome of dressing a diabetic foot ulcer with epidermal growth factor with that of conventional dressing with normal saline. The patients with diabetic foot were divided into study and control groups of 20 each. In the study group, epidermal growth factor (EGF) gel was used as dressing; in control group, dressing was done with normal saline. Treatment was given for 8 weeks or until ulcer healed, whichever occurred first. Evaluation of healing response was recorded on 1, 3, 5, and 8 weeks. After the first week of dressing 90 % of the study group and 30 % of the control group patients showed decrease in wound soakage, size, and increase in proliferation of healthy granulation tissue. After the eighth week of dressing in the study group, 80 % of the patients showed complete response to EGF application. Whereas in control group only 35 % of the patients showed complete response. Duration of hospital stay in the study group was lower as compared with the control group. EGF dressing causes early healing up to first 5 weeks as compared with conventional dressing. The results in healing were not significantly different in two study groups after 8-week duration. Hospital stay was lower in the study group as compared with the control group.
糖尿病可能导致3%的人群截肢。与非糖尿病患者相比,糖尿病患者的截肢风险高出15倍。本研究的目的是比较用表皮生长因子治疗糖尿病足溃疡的效果与用生理盐水进行传统换药的效果。将糖尿病足患者分为研究组和对照组,每组各20例。研究组使用表皮生长因子(EGF)凝胶进行换药;对照组用生理盐水换药。治疗8周或直至溃疡愈合,以先发生者为准。在第1、3、5和8周记录愈合反应评估情况。换药第一周后,研究组90%的患者和对照组30%的患者伤口渗液、面积减少,健康肉芽组织增生增加。研究组换药第八周后,80%的患者对EGF治疗表现出完全反应。而对照组只有35%的患者表现出完全反应。研究组的住院时间比对照组短。与传统换药相比,EGF换药在前5周可使伤口更早愈合。8周后,两个研究组的愈合结果无显著差异。研究组的住院时间比对照组短。
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