Clinical effects of application of antibiotic bone cement in wounds of diabetic foot ulcers
10.3760/cma.j.issn.1009-2587.2019.06.013
- VernacularTitle: 抗生素骨水泥在糖尿病足溃疡创面应用的临床效果
- Author:
Hongjun HUANG
1
;
Xihua NIU
;
Guanlong YANG
;
Liying WANG
;
Fanchao SHI
;
Shaojun XU
;
Lingang XU
;
Yonglin LI
Author Information
1. Department of Wound Repair, Zhengzhou First People′s Hospital, Zhengzhou 450004, China
- Publication Type:Journal Article
- Keywords:
Diabetic foot;
Ulcer;
Wounds;
Antibiotic bone cement
- From:
Chinese Journal of Burns
2019;35(6):464-466
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effects of antibiotic bone cement in the treatment of diabetic foot ulcers.
Methods:According to the treatment methods, 18 patients with diabetic foot ulcers (11 males and 7 females, aged 53-79 years), who were conformed to the study criteria and admitted to our hospital from January 2016 to January 2017, were enrolled in traditional group; 18 patients with diabetic foot ulcers (11 males and 7 females, aged 55-80 years), who were conformed to the study criteria and admitted to our hospital from February 2017 to February 2018, were enrolled in bone cement group. Wounds of patients in traditional group were treated with vacuum sealing drainage after conventional debridement. Wounds of patients in bone cement group were covered with antibiotic bone cement after conventional debridement. The number of patients with positive bacterial culture in wound exudate in the 2 groups on admission and 3, 6, 9, and 15 days after surgery, the length of hospital stay, the number of operation, and the wound complete healing time were retrospectively recorded. Data were processed with Fisher′s exact probability test and independent sample t test.
Results:Compared with (29±10) d and (4.6±1.2) times of patients in traditional group, the length of hospital stay [(9±3) d] of patients was obviously shortened, the number of operation [(1.3±0.6) times] of patients was obviously reduced, the number of patients with positive bacterial culture in wound exudate at each time point post surgery was obviously reduced (t=8.177, 9.896, P<0.05 or P<0.01) in bone cement group. There were no statistically significant differences in the number of patients with positive bacterial culture in wound exudate on admission and wound complete healing time between patients in the 2 groups (t=0.175, P>0.05).
Conclusions:The antibiotic bone cement treatment of diabetic foot ulcers can reduce the number of patients with positive bacterial culture in wound exudate and the number of operation, as well as shorten the length of hospital stay.
