[摘要] 目的 研究早期磨削痂后负压封闭引流治疗糖尿病合并烧伤患者深Ⅱ度创面的疗效。方法 按随机数字法将2018年1月—2019年2月收治的84例早期磨削痂后负压引流治疗糖尿病合并烧伤患者深二度创面患者分为对照组和治疗组，对照组42例，治疗组42例，对照组使用早期磨削痂+常规换药治疗，而治疗组在对照组的基础上使用负压封闭引流治疗，觀察两组患者的治疗有效率。结果 治疗组患者的愈合率为92.86%，对照组的愈合率为76.19%，治疗组明显优于对照组，差异有统计学意义(P<0.05)。结论 早期磨削痂后负压封闭引流治疗糖尿病患者愈合快，减轻患者的痛苦，缩短患者的病程，促进患者的康复，值得在临床推广。

    [关键词] 烧伤;糖尿病;负压封闭引流;深Ⅱ度创面

    [中图分类号] R587 [文献标识码] A [文章编号] 1672-4062(2019)08(b)-0026-02

    [Abstract] Objective To study the effect of early-stage grinding and vacuum-assisted drainage on deep second-degree wounds in patients with diabetes mellitus complicated with burns. Methods 84 patients with deep second-degree wounds in patients with diabetes mellitus complicated with burns were treated with randomized digital method for the treatment of deep second-degree wounds in diabetic patients with burns from January 2018 to February 2019 and were divided into the control group and the treatment group ......