摘要
目的探讨自体富血小板凝胶治疗糖尿病足溃疡患者的护理价值。方法48例糖尿病足溃疡患者,随机分为研究组和参照组,各24例。两组患者均采取自体富血小板凝胶治疗,参照组给予常规护理干预,研究组给予针对性护理干预。比较两组患者的临床疗效、创面修复时间及创面修复效果。结果研究组总有效率为95.83%,高于参照组的75.00%,差异具有统计学意义(P<0.05)。研究组Wagner 2级溃疡、Wagner 3级溃疡、表浅溃疡、窦道溃疡及总体溃疡等创面修复时间明显短于参照组,差异具有统计学意义(P<0.05)。研究组创面细菌清除率、肉芽组织生长厚度及肉芽组织覆盖率分别为(66.95±10.28)%、(3.32±0.97)mm、(29.38±9.71)%,均高于对照组的(46.03±8.14)%、(1.34±0.93)mm、(18.73±8.14)%,差异具有统计学意义(P<0.05)。结论对糖尿病足溃疡患者开展自体富血小板凝胶治疗的同时,实施针对性护理干预,能够有效缩减创面愈合时间,避免溃疡的持续恶化,提升护理效果及质量。
Objective To discuss the nursing value of autologous platelet rich gel in diabetic foot ulcers. Methods A total of 48 diabetic foot ulcers patients were randomly divided into research group and control group, with 24 cases in each group. Both groups were treated by autologous platelet rich gel. The control group received conventional nursing intervention, and the research group received targeted nursing intervention. Comparison was made on clinical efficacy, wound repair time and effect between the two groups. Results The total effective rate was 95.83% in the research group, which was higher than 75.00% in the control group, and the difference was statistically significant(P<0.05). The repair time of Wagner grade 2 ulcer, Wagner grade 3 ulcer, superficial ulcer, sinus ulcer and general ulcer in the research group was obviously shorter than those in the control group, and their difference was statistically significant(P<0.05). The bacterial clearance rate, growth thickness and coverage rate of granulation tissue were(66.95±10.28)%,(3.32±0.97) mm and(29.38±9.71)% in the research group, which were higher than(46.03±8.14)%,(1.34±0.93) mm and(18.73±8.14)% in the control group, and their difference was statistically significant(P<0.05). Conclusion Targeted nursing intervention for patients with diabetic foot ulcers during the treatmentof platelet rich gel can effectively reduce wound healing time, avoid continuous deterioration of the ulcer, and improve the nursing effect and quality.
作者
张书评
吴晨葳
ZHANG Shu-ping;WU Chen-wei(Department of Endocrinology,Inner Mongolia People’s Hospital,Hohhot 010017,China)
出处
《中国实用医药》
2019年第32期161-163,共3页
China Practical Medicine