摘要
目的探究糖尿病足患者采用常规治疗联合综合康复疗法的临床疗效.方法选取该院2019年6月—2020年7月收治的112例糖尿病足患者为研究对象,按照随机数表法分为对照组和观察组,每组56例.对照组采用常规治疗,观察组在此基础上采用综合康复疗法.比较两组患者的治疗效果、足背及腘动脉血流参数.结果观察组的治疗总有效率98.21%,高于对照组的85.74%,差异有统计学意义(P<0.05).治疗前,两组患者的各项足背及腘动脉血流参数比较,差异无统计学意义(P>0.05);治疗后,观察组的足背动脉血流量、动脉内径、正向峰值流速及反向峰值流速分别为(45.06±11.44)mL/min、(0.22±0.04)cm、(42.69±4.54)cm/s、(5.33±1.63)cm/s,腘动脉血流量、动脉内径、正向峰值流速及反向峰值流速分别为(254.88±61.93)mL/min、(0.53±0.05)cm、(55.68±8.15)cm/s、(9.72±2.25)cm/s,均优于对照组,组间差异有统计学意义(P<0.05).结论常规治疗联合综合康复疗法能够提高糖尿病足的治疗效果,改善足背动脉及腘动脉血流参数,促进创面愈合,具有临床推广、应用价值.
Objective To explore the clinical effect of routine treatment combined with comprehensive rehabilitation therapy in patients with diabetic foot.Methods 112 patients with diabetic foot admitted to the hospital from June 2019 to July 2020 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 56 patients in each group.The control group received routine treatment,and the observation group received comprehensive rehabilitation therapy on this basis.The treatment effect and blood flow parameters of dorsalis and popliteal artery were compared between the two groups.Results The total effective rate of the observation group 98.21%,was higher than 85.74%of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no statistically significant differences in blood flow parameters of dorsalis and popliteal artery between the two groups(P>0.05);after treatment,the blood flow,inner diameter,forward peak flow velocity and reverse peak flow velocity of dorsalis artery in the observation group were(45.06±11.44)mL/min,(0.22±0.04)cm,(42.69±4.54)cm/s,(5.33±1.63)cm/s,respectively,and the blood flow,arterial diameter,forward peak flow velocity and reverse peak flow velocity of popliteal artery in the observation group were(254.88±61.93)mL/min,(0.53±0.05)cm,(55.68±8.15)cm/s,(9.72±2.25)cm/s,respectively,which were better than those of the control group,the differences were statistically significant(P<0.05).Conclusion Conventional treatment combined with comprehensive rehabilitation therapy can improve the therapeutic effect of diabetic foot,improve the blood flow parameters of dorsal and popliteal arteries,and promote wound healing,which has clinical promotion and application value.
作者
付惠艳
FU Huiyan(Department of Endocrinology,Yantai Penglai People's Hospital,Yantai Shandong,265600,China)
出处
《反射疗法与康复医学》
2021年第12期137-140,共4页
Reflexology And Rehabilitation Medicine
关键词
糖尿病足
常规治疗
综合康复疗法
下肢动脉
血流动力学
Diabetic foot
Conventional treatment
Comprehensive rehabilitation therapy
Lower limb artery
Hemodynamics