糖尿病足的临床观察及护理探讨

Clinical Observation and Nursing Study of Diabetic Foot

目的探讨糖尿病足的临床观察及护理。方法选取该院2016年1月—2017年1月收治的40例糖尿病足患者,对其进行临床护理,并观察护理前后患者足部情况。结果护理前,红肿、溢脓、皮肤缺损10例,软组织坏死或骨质破坏8例,足部分或全部变黑坏死5例;护理后,红肿、溢脓、皮肤缺损3例,软组织坏死或骨质破坏1例,足部分或全部变黑坏死2例。两组患者情况比较,红肿、溢脓、皮肤缺损与软组织坏死或骨质破坏差异有统计学意义(P<0.05),足部分或全部变黑坏死,差异无统计学意义(P>0.05)。40例患者中,痊愈患者21例,病情好转18例,治疗无效1例,其中行手术截肢2例,合并感染、多脏器功能衰竭并发症死亡1例。结论对糖尿病足患者进行有效的临床护理,可以改善患者的症状,对于患者的健康有着重要作用,可以提高患者的生活质量,同时可以降低患者的死亡率与致残率,值得在临床中推广。

Objective To study the clinical observation and nursing study of diabetic foot. Methods 40 cases of diabetic foot patients admitted and treated in our hospital from January 2016 to January 2017 were selected for clinical nursing, and the foot situation before and after nursing was observed. Results Before nursing, 10 cases were with swelling, pyorrhea and skin defect, 8 cases were with soft tissue necrosis or destruction of bone, the partial or entire foot of 5 cases became black and necrosis, after nursing, 3 cases were with swelling, pyorrhea and skin defect, 1 case was with soft tissue necrosis or bone destruction, the partial or entire foot of 2 cases became black and necrosis, and the differences in the swelling, pyorrhea and skin defect between the two groups were statistically significant（P0.05）, but the difference in the partial or entire foot becoming black and necrosis between groups was not statistically significant（P 0.05）, of 40 cases, 21 cases were healed, 18 cases were improved, 1 case was ineffective, 2 cases underwent the amputation, and 1 case died due to infection and multiple organ failure. Conclusion The effective clinical nursing of patients with diabetic foot can improve the symptoms of patients, which is of important significance to the health of patients, and it can improve the quality of life, reduce the morality and disabled rates of patients, and it is worth clinical promotion.