镇痛治疗对糖尿病足或糖尿病末梢神经损害患者心理影响

Study of the influence on psychology of analgesic therapy in patients with diabetic foot or diabetic peripheral nerve damage

目的探讨镇痛治疗对糖尿病足或糖尿病末梢神经损害患者心理状态的影响。方法选择本院2014年1月至2015年1月收治的糖尿病末梢神经损害或糖尿病足患者66例为研究对象,给予降糖治疗及针对糖尿病足或糖尿病末梢神经损害的必要外科处理及神经营养治疗,在此基础上加用镇痛治疗。比较患者治疗前后疼痛数字评价量表(NRS)、Zung抑郁自评量表(SDS)和焦虑自评量表(SAS)评分以及生活质量评分。结果镇痛治疗后患者NRS、SDS、SAS评分均较治疗前显著降低(P<0.01或P<0.05);治疗后患者8个维度生活质量评分及总评分较治疗前均显著增加(P<0.05或P<0.01)。结论在有效降糖、必要外科处理的基础上合理使用镇痛治疗能够更好地减轻糖尿病足或糖尿病末梢神经损害患者疼痛症状,改善心理状态,提高其生活质量,值得推广。

Objective To discuss the clinical effects of analgesic therapy in patients with diabetic foot or diabetic peripheral nerve damage. Method 66 patients with diabetic foot or diabetic peripheral nerve damage were treated with analgesic therapy based on hypoglycemic therapy, surgical treatment and nerve nutrition therapy, then pain numerical rating scale（NRS）, SDS, SAS, and quality of life（QOL） scores were compared before and after treatment. Result NRS, SDS, and SAS scores were significantly reduced after treatment（P〈0.05 or P〈0.05）. After treatment, the scores of QOL in 8 dimensions and total score were significantly higher than before treatment（P〈0.05 or P〈0.05）. Conclusion Analgesic therapy based on effective hypoglycemic therapy, surgical treatment and nerve nutrition therapy for diabetic foot or peripheral nerve injury can much better reduce the patient＇s pain symptoms, improve the psychological state of patients, improve the quality of life, it is worthy of promotion.