目的对糖尿病足采用局部清创的方式进行伤口愈合情况的临床疗效的对比和分析,将不同换药方式在糖尿病足的清创术后的疗效加以分析。方法从2014年5月—2016年10月来医院治疗糖尿病足的患者中,选取了30例患者作为研究对象,随机分为观察组和对照组,观察组用纳米银敷料和泡沫敷料,清创后纳米银敷料覆盖伤口,后再用泡沫敷料包扎。对照组采用常规换药方式,对两组患者经过不同方式进行伤口清创后的溃疡愈合率、平均愈合时间、截肢率等进行观察。结果观察组的愈合率治疗效果优于对照组(P<0.05),但是在平均愈合时间和截肢率上少于对照组(P<0.05)。结论常规治疗兼用纳米银敷料和泡沫敷料,清创后纳米银敷料覆盖伤口,后再用泡沫敷料包扎的方法,对于糖尿病足伤口愈合具有明显的改善作用。 Objective To compare and analyze the clinical curative effect of wound healing by using partial debridement in diabetic foot and to analyze the curative effect of different dressing modalities after debridement of diabetic foot. Methods From May 2014 to October 2016, 30 patients with diabetes mellitus were treated in our hospital. The patients were randomly divided into observation group and control group. The observation group was treated with nano-silver dressing and foam dressing, debridement After the silver nano-dressing covers the wound, then foam dressing dressing. The control group was treated by conventional dressing method. The ulcer healing rate, average healing time and amputation rate of the two groups after different debridement were observed. Results The healing rate of the observation group was better than that of the control group (P <0.05), but the mean healing time and amputation rate were less than those of the control group (P <0.05). Conclusion Conventional treatment combined with nano-silver dressing and foam dressing, wound dressing after silver nano-silver wound dressing, and then wrapped with foam dressing method for diabetic foot wound healing significantly improved.