中药足浴配合穴位按摩护理在糖尿病足患者中的应用体会(1)
[摘要] 目的 探究中药足浴配合穴位按摩护理在糖尿病足患者中的应用体会。 方法 以该院治疗的72例糖尿病足患者为观察对象，于2018年2月—2019年10月入院，依据数字随机法分为对照组(n=34，常规护理)与观察组(n=38，中药足浴配合穴位按摩护理)。比较两组临床疗效及治疗前、后的ABI、足部神经筛查、局部组织中的血清碱性成纤维细胞生长因子(bFGF)的积分变化。 结果 观察组临床治疗效果高于对照组(P<0.05);治疗后观察组的ABI、bFGF水平高于对照组，其足部神经筛查情况低于对照组，差异有统计学意义(P<0.05)。 结论 采用中药足浴配合穴位按摩护理，可有效改善糖尿病足患者的局部炎症，提高临床治疗效果。
[关键词] 中药足浴;穴位按摩;糖尿病足;护理应用
[中图分类号] R473.5 [文献标识码] A [文章编号] 1672-4062(2020)08(b)-0119-03
[Abstract] Objective To explore the application experience of traditional Chinese medicine foot bath combined with acupoint massage nursing in patients with diabetic foot. Methods 72 patients with diabetic foot treated in the hospital were observed. They were admitted from February 2018 to October 2019， and were divided into a control group(n=34， routine nursing) and an observation group(n=38，Chinese medicine foot bath combined with acupressure massage care). The clinical efficacy and the ABI before and after treatment， foot nerve screening， and serum basic fibroblast growth factor (bFGF) score changes in local tissues were compared between the two groups. Results The clinical treatment effect of the observation group was higher than that of the control group(P<0.05); after treatment， the ABI and bFGF levels of the observation group were higher than that of the control group， and the foot nerve screening was lower than that of the control group. The difference was statistically significant. Conclusion The use of Chinese medicine foot bath combined with acupressure massage care can effectively improve the local inflammation of diabetic foot patients and improve the clinical treatment effect.
[Key words] Chinese medicine foot bath; Acupressure; Diabetic foot; Nursing application
糖尿病足又叫做糖尿病肢端壞疽，是临床常见的糖尿病并发症之一，因糖尿病神经的病变，包含植物神经损伤与末梢神经感觉障碍，而引起的下肢血管病变，或患者的皮肤微血管病变、细菌感染而造成的足部疼痛及足部溃疡、足部坏疽等，常表现为疼痛痉挛、跛行、神经水肿及下肢肌肉萎缩等，对患者的身体健康危害性极大[1]。临床常规西药治疗效果并不理想，近年来中医学发展越来越完善，临床治疗效果显著。该文选取2018年2月—2019年10月期间以72例患者为例，采用中药足浴配合穴位按摩护理，探讨其针对糖尿病足患者的应用效果，现结果报道如下。
1 资料与方法
1.1 一般资料
选取入院治疗的72例糖尿病足患者，随机分为两组，对照组34例，观察组38例。纳入标准：①均符合临床糖尿病足或早期糖尿病足症状诊断者;②经多普勒超声检查确诊者;③知晓该次实验探究目的，并签署知情同意书者。排除标准：①因其他病症并发的足部病变者;②心、肺、肾等多器官功能障碍或衰竭者;③不遵医嘱治疗及护理者;④不能坚持进行中药足浴及穴位按摩治疗者;⑤患有肢端坏疽或闭塞性动脉硬化者;⑥对中药药物过敏者。对照组男15例，女19例;年龄47～72岁，平均年龄(62.36±6.32)岁;病程1～11年，平均病程(5.64±3.26)年;其中小学及以下文化水平5例、初中及高中文化水平12例、中专及大专文化水平10例、大专以上文化水平7例。观察组男18例，女20例;年龄45～70岁，平均年龄(61.23±5.16)岁;病程3～12年，平均病程(6.53±2.65)年;其中小学及以下文化水平14例、初中及高中文化水平10例、中专及大专文化水平9例、大专以上文化水平5例。两组患者年龄、性别、病程、文化水平等基础资料差异无统计学意义(P>0.05)，可进行比较。, 百拇医药(隋岩)
[关键词] 中药足浴;穴位按摩;糖尿病足;护理应用
[中图分类号] R473.5 [文献标识码] A [文章编号] 1672-4062(2020)08(b)-0119-03
[Abstract] Objective To explore the application experience of traditional Chinese medicine foot bath combined with acupoint massage nursing in patients with diabetic foot. Methods 72 patients with diabetic foot treated in the hospital were observed. They were admitted from February 2018 to October 2019， and were divided into a control group(n=34， routine nursing) and an observation group(n=38，Chinese medicine foot bath combined with acupressure massage care). The clinical efficacy and the ABI before and after treatment， foot nerve screening， and serum basic fibroblast growth factor (bFGF) score changes in local tissues were compared between the two groups. Results The clinical treatment effect of the observation group was higher than that of the control group(P<0.05); after treatment， the ABI and bFGF levels of the observation group were higher than that of the control group， and the foot nerve screening was lower than that of the control group. The difference was statistically significant. Conclusion The use of Chinese medicine foot bath combined with acupressure massage care can effectively improve the local inflammation of diabetic foot patients and improve the clinical treatment effect.
[Key words] Chinese medicine foot bath; Acupressure; Diabetic foot; Nursing application
糖尿病足又叫做糖尿病肢端壞疽，是临床常见的糖尿病并发症之一，因糖尿病神经的病变，包含植物神经损伤与末梢神经感觉障碍，而引起的下肢血管病变，或患者的皮肤微血管病变、细菌感染而造成的足部疼痛及足部溃疡、足部坏疽等，常表现为疼痛痉挛、跛行、神经水肿及下肢肌肉萎缩等，对患者的身体健康危害性极大[1]。临床常规西药治疗效果并不理想，近年来中医学发展越来越完善，临床治疗效果显著。该文选取2018年2月—2019年10月期间以72例患者为例，采用中药足浴配合穴位按摩护理，探讨其针对糖尿病足患者的应用效果，现结果报道如下。
1 资料与方法
1.1 一般资料
选取入院治疗的72例糖尿病足患者，随机分为两组，对照组34例，观察组38例。纳入标准：①均符合临床糖尿病足或早期糖尿病足症状诊断者;②经多普勒超声检查确诊者;③知晓该次实验探究目的，并签署知情同意书者。排除标准：①因其他病症并发的足部病变者;②心、肺、肾等多器官功能障碍或衰竭者;③不遵医嘱治疗及护理者;④不能坚持进行中药足浴及穴位按摩治疗者;⑤患有肢端坏疽或闭塞性动脉硬化者;⑥对中药药物过敏者。对照组男15例，女19例;年龄47～72岁，平均年龄(62.36±6.32)岁;病程1～11年，平均病程(5.64±3.26)年;其中小学及以下文化水平5例、初中及高中文化水平12例、中专及大专文化水平10例、大专以上文化水平7例。观察组男18例，女20例;年龄45～70岁，平均年龄(61.23±5.16)岁;病程3～12年，平均病程(6.53±2.65)年;其中小学及以下文化水平14例、初中及高中文化水平10例、中专及大专文化水平9例、大专以上文化水平5例。两组患者年龄、性别、病程、文化水平等基础资料差异无统计学意义(P>0.05)，可进行比较。, 百拇医药(隋岩)