中医护理对糖尿病足溃疡疗效的影响(1)
[摘要] 目的 探讨中医护理对糖尿病足溃疡疗效的影响。 方法 选取本院收治的82例糖尿病足溃疡患者作为研究对象，随机分为观察组和对照组，各41例。对照组给予常规护理，观察组在对照组基础上给予中医护理。 结果 观察组的治愈时间为(16.8±7.1)d，短于对照组的(24.2±8.2)d(t=4.38，P<0.01)。观察组的总有效率为92.7%，明显高于对照组的78.0%(χ2=7.223，P=0.002)。 结论 对糖尿病足溃疡患者进行中医护理能够改善下肢血液循环，可明显提高临床疗效，有效控制疾病的发展，预防足部溃疡的发生，有效提高糖尿病足患者的生活水平，最终达到预防本病发展的目的。
[关键词] 糖尿病足溃疡；中医护理；疗效
[中图分类号] R587.1 [文献标识码] A [文章编号] 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，继心血管病及肿瘤后，糖尿病(diabetes mellitus，DM)已成为第三大非传染性疾病，严重威胁了人类健康，成为世界性公共卫生问题，随着人们经济水平的不断提高、社会生活方式的日益改变以及人口的老龄化，其患病率迅速增高，截止到2006年11月，全球DM的患病人数已经将近2.0亿，并且我国的DM患者已经超过6000万人[1]。众所周知，DM所造成的外周神经和周围血管病变是患者致残以及致死的重要原因。临床实践中发现DM足是患者最常见的并发症，且为DM患者住院的常见原因之一。研究表明，DM患者的足溃疡及其引起的感染所导致的截肢率高达90%[2]。本院收集因糖尿病足溃疡而在本科治疗的82例患者作为研究对象，通过对患者采用积极的护理干预措施，观察患者的恢复效果，现报道如下。
1 资料与方法
1.1 一般资料
收集2012年10月～2013年12月于本院内科治疗的DM足溃疡患者，经排除后选取符合标准的患者共82例(均符合1999年WHO 2型DM诊断标准)为研究对象，其中男性46例，女性36例，年龄为42～94(68.7±11.9)岁。DM病史(10.4±3.9)年，糖尿病足病程(1.6±0.9)个月，空腹血糖(10.7±3.2) mmol/L，糖化血红蛋白(9.5±2.4)%；Wagner分级[3]：Ⅰ级22例，Ⅱ级29例，Ⅲ级31例；溃疡面积1.5 cm×2.3 cm～7.2 cm×5.1 cm。将患者随机分为观察组和对照组，各41例。两组患者的性别、病程、年龄、溃疡深度及面积、病程的严重程度等一般资料差异无统计学意义(P>0.05)，具有可比性。排除标准：除外呼吸道感染、泌尿系感染等其他部位的感染，并排除其他影响血糖水平的内分泌疾病(如库欣综合征等)；排除所有可能非DM性相关的溃疡，如因恶性肿瘤长期化疗后、长期使用糖皮质激素等情况。 (李晓林)
[关键词] 糖尿病足溃疡；中医护理；疗效
[中图分类号] R587.1 [文献标识码] A [文章编号] 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，继心血管病及肿瘤后，糖尿病(diabetes mellitus，DM)已成为第三大非传染性疾病，严重威胁了人类健康，成为世界性公共卫生问题，随着人们经济水平的不断提高、社会生活方式的日益改变以及人口的老龄化，其患病率迅速增高，截止到2006年11月，全球DM的患病人数已经将近2.0亿，并且我国的DM患者已经超过6000万人[1]。众所周知，DM所造成的外周神经和周围血管病变是患者致残以及致死的重要原因。临床实践中发现DM足是患者最常见的并发症，且为DM患者住院的常见原因之一。研究表明，DM患者的足溃疡及其引起的感染所导致的截肢率高达90%[2]。本院收集因糖尿病足溃疡而在本科治疗的82例患者作为研究对象，通过对患者采用积极的护理干预措施，观察患者的恢复效果，现报道如下。
1 资料与方法
1.1 一般资料
收集2012年10月～2013年12月于本院内科治疗的DM足溃疡患者，经排除后选取符合标准的患者共82例(均符合1999年WHO 2型DM诊断标准)为研究对象，其中男性46例，女性36例，年龄为42～94(68.7±11.9)岁。DM病史(10.4±3.9)年，糖尿病足病程(1.6±0.9)个月，空腹血糖(10.7±3.2) mmol/L，糖化血红蛋白(9.5±2.4)%；Wagner分级[3]：Ⅰ级22例，Ⅱ级29例，Ⅲ级31例；溃疡面积1.5 cm×2.3 cm～7.2 cm×5.1 cm。将患者随机分为观察组和对照组，各41例。两组患者的性别、病程、年龄、溃疡深度及面积、病程的严重程度等一般资料差异无统计学意义(P>0.05)，具有可比性。排除标准：除外呼吸道感染、泌尿系感染等其他部位的感染，并排除其他影响血糖水平的内分泌疾病(如库欣综合征等)；排除所有可能非DM性相关的溃疡，如因恶性肿瘤长期化疗后、长期使用糖皮质激素等情况。 (李晓林)