电脑中频联合中药封包治疗糖尿病周围神经病变及中医护理配合

Computer medium-frequency electrotherapy combined with traditional Chinese medicine hot package in treatment of diabetic peripheral neuropathy and related nursing measures

目的探讨应用电脑中频联合中药封包治疗糖尿病周围神经病变的患者的中医护理配合方法。方法82例糖尿病周围神经病变患者分为观察组与对照组,各41例。2组均接受电脑中频联合中药封包治疗。对照组接受常规护理,观察组在对照组的基础上接受中医护理干预,观察2组干预前后血糖水平、踝肱指数、中医症状评分、足部神经筛查评分、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分。结果干预后,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组(P<0.05);观察组足部神经筛查评分、中医症状评分低于对照组,踝肱指数高于对照组(P<0.05);观察组的SDS、SAS评分均低于对照组(P<0.05)。结论中医护理用于电脑中频联合中药封包治疗的糖尿病周围神经病变患者中效果满意,可有效改善足部神经传导功能,缓解肢体症状,提高舒适度。

Objective To investigate the effect of computer medium-frequency electrotherapy combined with traditional Chinese medicine hot package in treatment of diabetic peripheral neuropathy and to summarize related nursing measures. Methods Totally 82 patient with diabetic peripheral neuropathy were assigned to the observation group and control group,with 41 cases in each group. Both two groups received computer medium-frequency electrotherapy combined with traditional Chinese medicine hot package and routine nursing care. The nursing intervention of traditional Chinese medicine was carried out in the observation group. The primary outcomes include blood glucose level,TCM symptom score,ankle-brachial index,diabetic foot neuropathy screening scale,self-rating depression scale（ SDS） and self-rating anxiety scale（ SAS）. Results The level of FBG,2h PBG,Hb A1c were lower in the observation group than those in the control group after treatment（ P〈0. 05）. Compared with Patients in the control group,patients in the observation group had lower score in diabetic foot neuropathy screening scale and TCM symptom score,and higher ankle-brachial index（ P〈0. 05）. The SDS and SAS score in the observation group were lower than those of controls after treatment（ P〈0. 05）. Conclusion In treatment of diabetic peripheral neuropathy with computer medium-frequency electrotherapy combined with traditional Chinese medicine hot package,nursing intervention of traditional Chinese medicine is potentially effective way of improving function of nerve conduction and control the development of peripheral neuropathy.