温经通络散全足外敷配合护理干预在0级糖尿病足患者中的应用

Curative effect observation of warming and dredge the meridian powder of full foot external treatment combined with nursing intervention on grade 0 diabetic foot

目的：探讨温经通络散全足外敷配合护理干预在0级糖尿病足患者护理中的应用效果。方法根据随机数字表法将60例2型糖尿病合并0级糖尿足患者分为研究组与对照组，每组各30例。对照组接受糖尿病常规治疗和护理，研究组在对照组的基础上，运用温经通络散进行外敷并结合相应中医护理措施进行护理。比较两组患者干预前后空腹血糖、餐后2 h血糖、糖化白蛋白、踝肱指数（ ABI）、神经肌电图检查结果和综合治疗有效率。结果与治疗前相比，两组患者的空腹血糖和餐后2h血糖均显著降低，研究组的糖化白蛋白也显著降低，差异具有统计学意义（P〈0.05）；护理干预后，研究组的空腹血糖、餐后2 h血糖、ABI、运动神经传导和感觉神经传导的改善程度显著低于对照组，差异具有统计学意义（P〈0.05）。研究组患者的综合治疗效果显著优于对照组，差异具有统计学意义（P〈0.05）。结论温经通温络散全足外敷配合护理干预能够改善糖尿病足患者的血糖水平，并有效控制血糖的波动，在营养神经以及改善神经传导速度方面均有显著效果。

Objective To explore the curative effect of warming and dredge the meridian powder of full foot external treatment combined with nursing intervention on grade 0 diabetic foot. Methods A total of 60 patients of grade 0 diabetic foot in our hospital for treatment of type 2 diabetes, were divided into experimental group and control group according to the random number table, each group of 30 cases. The patients of control group received routine treatment and nursing of diabetes, while the patients of experimental group used warming and dredge the meridian powder for full external foot on the basis of the control group. Fasting blood glucose （FBG）, 2 h postprandial blood glucose （P2hBG）, glycated albumin （GA）, ankle brachial index （ABI）, electromyogram examination and treatment efficiency were compared before and after the intervention. Results Compared with before treatment, fasting and 2 hour postprandial blood glucose were significantly decreased in both groups, the GA of experimental group declined as well （P〈0. 05）. After nursing intervention in the experimental group, the improvements of the FBG, P2hBG, ABI, motor nerve conduction and sensory nerve conduction were significantly lower than those of the control group, with statistical significance （P〈0. 05）. The effect of combined therapy for patients in the experimental group was significantly better than that of the control group （P〈0. 05）. Conclusions The warming and dredge the meridian powder of full foot external treatment combined with nursing intervention can promote the blood glucose level of patients with diabetic foot and blood glucose fluctuation, and nourish nerve and improve nerve conduction velocity.