中药浸泡结合毕格尔运动法在0级糖尿病足防治中的效果观察

Effect of Chinese herbal immersion combined with Beecher＇s exercise in prevention and treatment of grade-0 diabetic foot

目的 探讨中药浸泡结合毕格尔运动法在0级糖尿病足防治中的应用效果.方法 对我院内分泌科2009年7月至2013年10月的107例0级糖尿病足患者在常规干预的基础上采用中药浸泡结合毕格尔运动法,在对患者干预前及干预3个疗程后进行足部症状自我感觉评定及糖尿病足知识掌握情况评估.结果 干预3个疗程后,患者的自我感觉评分总分为（4.37＆#±1.45）分,与干预前的总分（5.62＆#±1.55）分比较下降,差异有统计学意义,t=7.91,P＜0.05.同时患者的糖尿病足知识掌握程度有明显提高[干预前6项考核指标的掌握率为62.62％（67/107）、23.36％（25/107）、30.84％（33/107）、46.73％（50/107）、57.94％（62/107）、50.47％（54/107）,干预后分别为96.26％（103/107）、86.92％ （93/107）、89.72％（96/107）、85.98％ （92/107）、94.39％（101/107）、87.85％（94/107）],差异有统计学意义,x2值分别为37.78、87.35、77.46、36.92、39.16、35.05,均P＜0.05.结论 中药浸泡结合毕格尔运动对0级糖尿病足具有药效直达病处,安全有效,操作简便之优点,同时充分发挥了祖国传统医学优势,改善了0级糖尿病足患者的临床症状,有效地预防及控制了糖尿病足的进一步发展,值得在临床中推广应用.

Objective To explore clinical effect of Chinese herbal immersion combined with Beecher＇s exercise for prevention and treatment of grade-0 diabetic foot.Methods A total of 107 patients who were diagnosed with grade-0 diabetic foot were selected in Department of Endocrinology of our hospital from July 2009 to October 2013.In addition to regular treatments,their feet were immersed in Chinese herbal liquid,and then were taken care by doing Beecher＇s exercise.The symptoms of diabetic foot were self-rated by each individual patient and mastering of knowledge about diabetic foot was evaluated both before the intervention and after three courses of treatment.Results After three courses of treatment,the self-rating symptom scored （4.37＆#±1.45） totally,significandy lower than that before the intervention,（5.62＆#±1.55）,t=7.91,P 〈 0.05.The mastering of six testing indexes about diabetic foot obviously improved compared between those before and after three courses of treatment [62.62% （67/107）],23.36% （25/107）,30.84% （33/107）,46.73% （50/107）,57.94% （62/107）,50.47% （54/107） vs.96.26% （103/107）],86.92% （93/107）,89.72% （96/107）,85.98% （92/107）,94.39% （101/107）,87.85% （94/107）,x2=37.78,87.35,77.46,36.92,39.16,35.05,all P 〈 0.05.Conclusions For grade-0 diabetic foot,Chinese herbal immersion treatment combined with Beecher＇s exercise can be applied straight forwardly on the disease focus;it＇s clinically safe and effective,and easy to be operated.It improves clinical symptoms of grade-0 diabetic foot by taking advantages of traditional Chinese medicine,prevent and control further development of diabetic foot and is valuable to be applied in clinical work.