富硒温泉水浸浴治疗足部慢性难愈性溃疡的效果观察.docVIP

富硒温泉水浸浴治疗足部慢性难愈性溃疡的效果观察 　　【摘要】 目的：探讨富硒温泉水浸浴治疗足部慢性难愈性溃疡的效果。方法：按照是否接受富硒温泉水浸浴治疗将40例足部慢性难愈性溃疡患者分为试验组20例和对照组20例，对照组患者给予磺胺嘧啶银乳膏局部换药治疗，试验组患者在此基础上给予富硒温泉水治疗，比较两组患者治疗效果。结果：试验组患者溃疡痊愈率和总有效率均明显高于对照组，差异均有统计学意义（P0.05）。两组患者治疗后1、2、4周溃疡面积均明显减小，与同组治疗前比较，差异均有统计学意义（P0.05）；试验组患者治疗后1、2、4周溃疡面积均明显小于对照组，差异均有统计学意义（P0.05）；两组患者治疗后1、2、4周VEGF含量均明显升高，与同组治疗前比较，差异均有统计学意义（P0.05）；试验组患者治疗后1、2、4周VEGF含量均明显高于对照组，差异均有统计学意义（P0.05）。结论：富硒温泉水浸浴能够有效促进足部慢性难愈性溃疡愈合，短时间内缩小溃疡面积，提高溃疡面VEGF含量，临床效果显著。 　　【关键词】 富硒温泉水； 浸浴； 足部； 慢性难愈性溃疡 　　Effect Observation of Selenium-rich Hot Spring Water Bath for the Treatment of Patients with Foot Chronic Painless Ulcer/LUO Fa-xiang，XIONG Sai-jun.//Medical Innovation of China，2015，12（29）：114-117 　　【Abstract】 Objective：To investigate the clinical effects of selenium-rich hot spring water bath for the treatment of patients with foot chronic painless ulcer.Method：40 patients with foot chronic painless ulcer were divided into the experimental group（20 cases） and the control group（20 cases） according to whether or not to accept the selenium-rich hot spring water bath treatment.The control group was treated by Sulfadiazine Silver Cream，on the basis of the control group，the experimental group was treated by selenium-rich hot spring water bath.The clinical effects of the two groups were compared.Result：The ulcer healing rate and total effective rate of the experimental group were significantly higher than the control group，the differences were statistically significant（P0.05）.The ulcer area after treatment for 1 week，2 and 4 weeks of the two groups were significantly less than before treatment，and the ulcer area after treatment for 1 week，2 and 4 weeks of the experimental group were significantly less than the control group，the differences were statistically significant（P0.05）.The content of VEGF after treatment for 1 week，2 and 4 weeks of the two groups were significantly higher than before treatment，and the content of VEGF after treatment for 1 week，2 and 4 weeks of the experimental group