低分子肝素钙联合心理干预治疗糖尿病足的临床分析

Clinical analysis of low molecular weight heparin calcium combined with psychological intervention in the treatment of diabetic foot

目的研究分析低分子肝素钙治疗糖尿病足的临床分析及对患者的心理干预。方法选取温州市中西医结合医院2015年2月～2016年11月收治的100例2型糖尿病足患者为研究对象，随机分为对照组和实验组，每组各50例。对照组患者与实验组组患者均进行抗感染治疗以及胰岛素降糖治疗，进行换药处理。实验组在此基础上给予低分子肝素钙皮下注射，进行心理干预，关注患者的心理状态，加强与患者的沟通和交流，增加患者的治疗信心和治疗依从性。比较分析实验组与对照组患者的相关临床指标。结果经过对应的治疗后，实验组伤口愈合无效例数为6例。对照组伤口愈合无效例数为20例。可得，实验组患者的治疗有效率为88.0%显著高于对照组有效率为60.0%，差异具有统计学意义（P＜0.05）。治疗后，实验组患者的血浆黏度以及足背动脉血流速度显著优于对照组，差异具有统计学意义（P＜0.05）。结论低分子肝素钙联合心理干预治疗糖尿病足临床效果较好，具有推广意义。

Objective To investigate and analyze clinical analysis of low molecular weight heparin calcium combined with psychologicalintervention in the treatment of diabetic foot patients.Methods100patients with type2diabetic foot who were treated in our hospital from February2015to November2016were selected and randomly divided into the control group and the experimental group,with50patients in each group.Thepatients in the control group and the experimental group were treated with anti infection therapy and insulin hypoglycemic therapy,and the dressingchange was carried out.The experimental group was given subcutaneous injection of low molecular weight heparin for psychological intervention,pay attention to the patient’s psychological status,strengthen communication with patients,and increase the patient’s confidence and treatmentcompliance.The clinical indexes of the experimental group and the control group were compared and analyzed.Results After the correspondingtreatment,6cases in the experimental group the wound healing is invalid.The number of ineffective wounds in the control group was20.Theeffective rate of treatment in the experimental group was88.0%,which was significantly higher than that in the control group,and the effective ratewas60.0%,with statistical difference(P<0.05).After treatment,the plasma viscosity and the blood flow velocity of the dorsalis pedis artery in theexperimental group were significantly better than those in the control group,with statistical difference(P<0.05).Conclusion Low molecular weightheparin calcium combined with psychological intervention in the treatment of diabetic foot has a good clinical effect,and has the significance ofpromotion.