探讨中西结合临床护理路径对糖尿病周围神经病变患者的护理效果

Study on Effect of Clinical Care Path of Chinese and Western Medicine for Patients with Diabetic Peripheral Neuropathy

目的探讨分析糖尿病周围神经病变患者接受中西结合临床护理路径的效果。方法选取2015年1—12月该院接收的100例糖尿病周围神经病变患者来分析研究,将患者分成对照组和观察组,均有50例,对照组使用常规护理,观察组使用常规护理和中西结合护理路径。对两组护理后的神经传导速度、病情程度、生活质量进行对比分析。结果观察组患者接受护理后,其正中神经、尺神经、胫神经等运动传导速度(MCV)和感觉神经传导速度(SCV)均要比对照组大,经多伦多临床评分系统(TCSS)评分表明,观察组的神经症状、神经反射及感觉功能评分比对照组低,患者的生理功能、健康状况、社会功能等均要比对照组优秀(P<0.05)。结论糖尿病周围神经病变患者接受中西结合临床护理路径能够获得非常好的护理效果,患者对疾病的知识掌握度有所提升,临床中值得推广使用。

Objective To discuss and analyze the effect of clinical care path of Chinese and western medicine for patients with diabetic peripheral neuropathy. Methods 100 cases of patients with diabetic peripheral neuropathy admitted and treated in our hospital from January 2015 to December 2015 were selected for research and divided into two groups with 50 cases in each, the control group adopted the routine nursing, while the observation group adopted the routine nursing and clinical care path of Chinese and western medicine, and the nerve conduction rate, disease degree and quality of life of the two groups after nursing were compared and analyzed. Results After nursing, the median,, ulnar and nervus tibialis MCV and sensory nerve were faster than those in the control group, and the TCSS score showed that the nerve symptoms, neural reflex and sensory function score in the observation group were lower than those in the control group, and the physical function, health condition and social function of patients were better than those in the control group （P〈0.05）. Conclusion The effect of clinical care path of Chinese and western medicine for patients with diabetic peripheral neuropathy is good, and the mastery of disease knowledge is improved and it is worth promotion and application in clinic.