中醫(yī)護(hù)理對(duì)糖尿病足潰瘍療效的影響(1)
[摘要] 目的 探討中醫(yī)護(hù)理對(duì)糖尿病足潰瘍療效的影響。 方法 選取本院收治的82例糖尿病足潰瘍患者作為研究對(duì)象，隨機(jī)分為觀察組和對(duì)照組，各41例。對(duì)照組給予常規(guī)護(hù)理，觀察組在對(duì)照組基礎(chǔ)上給予中醫(yī)護(hù)理。 結(jié)果 觀察組的治愈時(shí)間為(16.8±7.1)d，短于對(duì)照組的(24.2±8.2)d(t=4.38，P<0.01)。觀察組的總有效率為92.7%，明顯高于對(duì)照組的78.0%(χ2=7.223，P=0.002)。 結(jié)論 對(duì)糖尿病足潰瘍患者進(jìn)行中醫(yī)護(hù)理能夠改善下肢血液循環(huán)，可明顯提高臨床療效，有效控制疾病的發(fā)展，預(yù)防足部潰瘍的發(fā)生，有效提高糖尿病足患者的生活水平，最終達(dá)到預(yù)防本病發(fā)展的目的。
[關(guān)鍵詞] 糖尿病足潰瘍；中醫(yī)護(hù)理；療效
[中圖分類號(hào)] R587.1 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-4721(2015)01(b)-0182-03
The influence of TCM nursing on the curative effect of diabetic foot ulcer
LI Xiao-lin
Department of Integrated Traditional Chinese and Western Medicine，Heilongjiang Provincial Hospital，Harbin 150000，China
[Abstract] Objective To investigate the influence of TCM nursing on the curative effect of diabetic foot ulcer. Methods 82 cases with diabetic foot ulcer treated in our hospital were selected as research subjects，and they were randomly divided into the observation group and control group，there were 41 cases in each group.The control group was given the routine nursing，the observation group was given the TCM nursing on the basis of the control group. Results Healing time of the observation group [(16.8±7.1) d ] was shorter than that in the control group [(24.2±8.2) d] (t=4.38，P<0.01).The total effective rate in the observation group (92.7%) was higher than that in the control group (78.0%)(χ2=7.223，P=0.002). Conclusion For patients with diabetic foot ulcer，TCM nursing can improve the blood circulation of lower limb，and can significantly improve the clinical curative effect， can effectively control the development of the disease，prevent the occurrence of diabetic foot ulcer，can improve the life level of patients with diabetic foot to reach the purpose of preventing the development of disease finally.
[Key words] Diabetic foot ulcer；TCM nursing；Curative effect
目前，繼心血管病及腫瘤后，糖尿病(diabetes mellitus，DM)已成為第三大非傳染性疾病，嚴(yán)重威脅了人類健康，成為世界性公共衛(wèi)生問題，隨著人們經(jīng)濟(jì)水平的不斷提高、社會(huì)生活方式的日益改變以及人口的老齡化，其患病率迅速增高，截止到2006年11月，全球DM的患病人數(shù)已經(jīng)將近2.0億，并且我國的DM患者已經(jīng)超過6000萬人[1]。眾所周知，DM所造成的外周神經(jīng)和周圍血管病變是患者致殘以及致死的重要原因。臨床實(shí)踐中發(fā)現(xiàn)DM足是患者最常見的并發(fā)癥，且為DM患者住院的常見原因之一。研究表明，DM患者的足潰瘍及其引起的感染所導(dǎo)致的截肢率高達(dá)90%[2]。本院收集因糖尿病足潰瘍而在本科治療的82例患者作為研究對(duì)象，通過對(duì)患者采用積極的護(hù)理干預(yù)措施，觀察患者的恢復(fù)效果，現(xiàn)報(bào)道如下。
1 資料與方法
1.1 一般資料
收集2012年10月～2013年12月于本院內(nèi)科治療的DM足潰瘍患者，經(jīng)排除后選取符合標(biāo)準(zhǔn)的患者共82例(均符合1999年WHO 2型DM診斷標(biāo)準(zhǔn))為研究對(duì)象，其中男性46例，女性36例，年齡為42～94(68.7±11.9)歲。DM病史(10.4±3.9)年，糖尿病足病程(1.6±0.9)個(gè)月，空腹血糖(10.7±3.2) mmol/L，糖化血紅蛋白(9.5±2.4)%；Wagner分級(jí)[3]：Ⅰ級(jí)22例，Ⅱ級(jí)29例，Ⅲ級(jí)31例；潰瘍面積1.5 cm×2.3 cm～7.2 cm×5.1 cm。將患者隨機(jī)分為觀察組和對(duì)照組，各41例。兩組患者的性別、病程、年齡、潰瘍深度及面積、病程的嚴(yán)重程度等一般資料差異無統(tǒng)計(jì)學(xué)意義(P>0.05)，具有可比性。排除標(biāo)準(zhǔn)：除外呼吸道感染、泌尿系感染等其他部位的感染，并排除其他影響血糖水平的內(nèi)分泌疾病(如庫欣綜合征等)；排除所有可能非DM性相關(guān)的潰瘍，如因惡性腫瘤長期化療后、長期使用糖皮質(zhì)激素等情況。 (李曉林)
[關(guān)鍵詞] 糖尿病足潰瘍；中醫(yī)護(hù)理；療效
[中圖分類號(hào)] R587.1 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-4721(2015)01(b)-0182-03
The influence of TCM nursing on the curative effect of diabetic foot ulcer
LI Xiao-lin
Department of Integrated Traditional Chinese and Western Medicine，Heilongjiang Provincial Hospital，Harbin 150000，China
[Abstract] Objective To investigate the influence of TCM nursing on the curative effect of diabetic foot ulcer. Methods 82 cases with diabetic foot ulcer treated in our hospital were selected as research subjects，and they were randomly divided into the observation group and control group，there were 41 cases in each group.The control group was given the routine nursing，the observation group was given the TCM nursing on the basis of the control group. Results Healing time of the observation group [(16.8±7.1) d ] was shorter than that in the control group [(24.2±8.2) d] (t=4.38，P<0.01).The total effective rate in the observation group (92.7%) was higher than that in the control group (78.0%)(χ2=7.223，P=0.002). Conclusion For patients with diabetic foot ulcer，TCM nursing can improve the blood circulation of lower limb，and can significantly improve the clinical curative effect， can effectively control the development of the disease，prevent the occurrence of diabetic foot ulcer，can improve the life level of patients with diabetic foot to reach the purpose of preventing the development of disease finally.
[Key words] Diabetic foot ulcer；TCM nursing；Curative effect
目前，繼心血管病及腫瘤后，糖尿病(diabetes mellitus，DM)已成為第三大非傳染性疾病，嚴(yán)重威脅了人類健康，成為世界性公共衛(wèi)生問題，隨著人們經(jīng)濟(jì)水平的不斷提高、社會(huì)生活方式的日益改變以及人口的老齡化，其患病率迅速增高，截止到2006年11月，全球DM的患病人數(shù)已經(jīng)將近2.0億，并且我國的DM患者已經(jīng)超過6000萬人[1]。眾所周知，DM所造成的外周神經(jīng)和周圍血管病變是患者致殘以及致死的重要原因。臨床實(shí)踐中發(fā)現(xiàn)DM足是患者最常見的并發(fā)癥，且為DM患者住院的常見原因之一。研究表明，DM患者的足潰瘍及其引起的感染所導(dǎo)致的截肢率高達(dá)90%[2]。本院收集因糖尿病足潰瘍而在本科治療的82例患者作為研究對(duì)象，通過對(duì)患者采用積極的護(hù)理干預(yù)措施，觀察患者的恢復(fù)效果，現(xiàn)報(bào)道如下。
1 資料與方法
1.1 一般資料
收集2012年10月～2013年12月于本院內(nèi)科治療的DM足潰瘍患者，經(jīng)排除后選取符合標(biāo)準(zhǔn)的患者共82例(均符合1999年WHO 2型DM診斷標(biāo)準(zhǔn))為研究對(duì)象，其中男性46例，女性36例，年齡為42～94(68.7±11.9)歲。DM病史(10.4±3.9)年，糖尿病足病程(1.6±0.9)個(gè)月，空腹血糖(10.7±3.2) mmol/L，糖化血紅蛋白(9.5±2.4)%；Wagner分級(jí)[3]：Ⅰ級(jí)22例，Ⅱ級(jí)29例，Ⅲ級(jí)31例；潰瘍面積1.5 cm×2.3 cm～7.2 cm×5.1 cm。將患者隨機(jī)分為觀察組和對(duì)照組，各41例。兩組患者的性別、病程、年齡、潰瘍深度及面積、病程的嚴(yán)重程度等一般資料差異無統(tǒng)計(jì)學(xué)意義(P>0.05)，具有可比性。排除標(biāo)準(zhǔn)：除外呼吸道感染、泌尿系感染等其他部位的感染，并排除其他影響血糖水平的內(nèi)分泌疾病(如庫欣綜合征等)；排除所有可能非DM性相關(guān)的潰瘍，如因惡性腫瘤長期化療后、長期使用糖皮質(zhì)激素等情況。 (李曉林)