糖尿病足方联合综合护理治疗早期糖尿病足临床研究
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R587.2;R473.58

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Clinical Study on Prescription for Diabetic Foot Combined with Comprehensive Nursing for Diabetic Foot at Early Stage
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    摘要:

    目的:观察糖尿病足方联合综合护理治疗早期糖尿病足的临床效果。方法:将98 例早期糖尿病足患者随机分为2 组,对照组49 例给予温水泡足联合常规护理进行干预,观察组49 例给予糖尿病足方内服联合温水泡足、综合护理进行治疗。比较2 组患者治疗前后足部功能相关指标与血糖变化,比较2 组患者护理质量与总体临床疗效。结果:总有效率观察组为91.84%,对照组为73.47%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组足部神经筛查评分均较治疗前降低(P<0.05),踝肱指数、动脉血管内径较治疗前增大(P<0.05);且观察组各项指标改善较对照组更显著(P<0.05)。治疗后,2 组空腹血糖(FBG)、餐后血糖(PBG) 水平均较治疗前降低(P<0.05),且观察组FBG、PBG 水平均低于对照组(P<0.05)。治疗后,观察组患者遵医行为、饮食控制、生活习惯等护理质量评分均高于对照组(P<0.05)。结论:糖尿病足方治疗联合综合护理干预,可增加糖尿病足患者治疗依从性,改善血糖水平与足功能,提高临床疗效。

    Abstract:

    Abstract:Objective:To observe the clinical effect of prescription for diabetic foot combined with comprehensive nursing for diabetic foot at early stage. Methods:A total of 98 cases of patients with diabetic foot at early stage were randomly divided into two groups,49 cases in each group. The control group was given warm-water foot bath combined with routine nursing for intervention. The observation group was given the oral administration of prescription for diabetic foot,warm-water foot bath,and comprehensive nursing. Before and after treatment,the changes in the related indexes of the foot function and blood glucose level were compared in the two groups. Quality of nursing and the total clinical effect were compared between the two groups. Results:The total effective rate was 91.84% in the observation group and 73.47% in the control group,the difference being significant(P<0.05). After treatment, the scores of diabetic foot neuropathy screening in the two groups were decreased when compared with those before treatment(P<0.05);ankle- brachial index and inner diameter of arterial vessel were enlarged when compared with those before treatment(P<0.05); the improvement of each index above in the observation group was more significant than that in the control group(P<0.05). After treatment,the levels of FBG and PBG in the two groups were decreased when compared with those before treatment(P<0.05); the two levels in the observation group were lower than those in the control group(P<0.05). After treatment, the scores of compliance behaviors, diet control,living habits,and other scores of quality of nursing in the observation group were higher than those in the control group(P<0.05). Conclusion: The intervention of prescription for diabetic foot combined with comprehensive nursing can promote treatment compliance of patients,and improve blood glucose level,the foot function,and the clinical effect.

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朱璐瑛,李霞,沈培燕,蔡端平.糖尿病足方联合综合护理治疗早期糖尿病足临床研究[J].新中医,2021,53(6):138-141

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  • 在线发布日期: 2021-03-25
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