“足底操”对0级糖尿病足患者周围神经病变及足底压力的影响

Effect of "Foot exercises" on peripheral neuropathy and plantar pressure in patients with diabetic foot

目的探讨"足底操"对0级糖尿病足患者周围神经病变及足底压力的影响。方法将100例糖尿病足患者随机分为观察组与对照组,每组各50例,对照组患者给予常规治疗护理,观察组患者在常规治疗护理基础上实施"足底操",疗程12周。干预前后比较两组患者多伦多临床神经病变评分系统(Toronto clinical scoring system,TCSS)及左右足底各部位峰值压力的变化情况。结果干预前两组患者TCSS比较,均P>0.05,差异无统计学意义;干预后两组患者TCSS比较,P<0.001,差异具有统计学意义,观察组患者得分明显低于对照组。干预前两组患者左右足底各部位峰值压力比较,均P>0.05,差异无统计学意义;干预后两组患者左右足底各部位峰值压力比较,均P<0.05,差异具有统计学意义,观察组患者左右足底各部位峰值压力明显低于对照组。结论对0级糖尿病足患者实施"足底操"训练,可有效改善其周围神经病变,缓解患者足底压力,减轻患者痛苦,提高患者的生活质量,值得在临床推广应用。

Objective To observe the effectiveness of routine nursing plus ＂foot exercise＂ on the peripheral neuropathy and plantar pressure in patients with diabetic foot. Methods Toally 100 patients with diabetic foot were randomly divided into 2 groups. On the basis of routine nursing care, 50 patients in the observation group were given ＂foot exercises ＂ for 12 weeks, 50 patients in the control group were given routine nursing only. Before and after intervention, the Toronto clinical scoring system（TCSS）, left and right foot peak pressure variation were observed. Results Before intervention, there was no statistical difference between the two groups ＇ TCSS sore and the peak pressure of left and right foot（P〈0.05）. After intervention, the observation group ＇s average total score of TCSS was lower,there was significantly different between two groups（P〈0.001）.The peak pressure of left and right foot is lower in the observation group,the difference was statistically significant（P〈0.05）. Conclusion ＂Foot exercises＂ is worthy of clinical promotion, because it can improve the peripheral neuropathy of patients with diabetic foot, so as to reduce the plantar pressure, reduce the pain of patients and improve their life quality.