負壓傷口治療模式成功改善複雜糖尿病足潰瘍－－個案報告

Successful Negative Pressure Wound Therapy for Improving Complex Diabetic Foot Ulcers- a Case Report

複雜糖尿病足潰瘍不僅影響患者個人生活，對醫療團隊也是一大挑戰。如何妥善治療並保持患肢的最佳功能，常是臨床人員思考的課題。根據現今的研究證實：負壓傷口治療運用於糖尿病足的複雜傷口，能促進肉芽生長、吸收滲液、幫助傷口縮合、減少菌量和降低糖尿病足截肢機率。本文將探討一位66歲種複雜糖尿病足潰瘍合併隧道式穿足傷口的男性病患，接受清創手術後，運用負壓傷口治療獲致良好的成效。

Diabetic foot ulcers not only affect the life of the patient but also present a great challenge to healthcare professionals as they seek to achieve the optimal outcome in the treatment and preserve the function of the affected limb. Based on the evidence to date, many studies have demonstrated that applying negative pressure wound therapy (NPWT) to the diabetic foot ulcers can facilitate granulation and fluid evacuation. NPWT has been found to also reduce bacterial bioburden and amputation rates. Herein, we report a case involving a 66-year-old man with complex diabetic foot ulcers successfully treated using NPWT following debridement.