杵针干预对糖尿病高危足患者临床症状及生活质量的影响研究

Effecttiveness of Pestle needle on the clinical symptoms and quality of life in patient with diabetic foot at high-risk

目的:观察杵针干预对糖尿病高危足患者的临床症状和生活质量的影响。方法:选取2016年11月~2017年12月在我院内分泌科住院的132例糖尿病高危足患者,随机分为试验组和对照组各66例,对照组采用糖尿病常规治疗和护理,试验组在对照组的基础上加用杵针干预,杵针干预每日1次,共干预4周。于干预前、干预后比较两组临床症状积分量表得分(CSIT)、2型糖尿病生活质量评定量表修订版得分(DMQLS修订版)和临床疗效。结果:干预前,两组患者CSIT得分、DMQLS修订版总分及各维度得分比较差异均无统计学意义(P>0.05);干预后,试验组CSIT得分、DMQLS修订版总分及各维度得分均低于对照组,差异有统计学意义(P<0.01);试验组总有效率(87.5%)高于对照组(71.0%),差异有统计学意义(P<0.05)。结论:在常规护理的基础上给予杵针干预能减轻糖尿病高危足患者的临床症状,提高临床疗效,改善生活质量。

Objective:To evaluate the clinical symptoms and quality of life of Pestle needle for patient with diabetic foot at high-risk.Methods:132 patients with high-risk of diabetic foot hospitalized from November 2016 to December 2017 in our hospital were randomly divided into the intervention group and the control group with 66 cases in each group.The control group was treated with diabetes routine treatment and nursing,and the intervention group adopted pestle needle therapy for 4 weeks,1 time per day.Two groups were compared by the scores of Clinical Symptom Integral Table(CSIT)、the scores of Quality of Life Scale for Patients with type 2 Diabetes Mellitus(DMQLS modified version) and clinical efficacy before and after the intervention.Results:After intervention,the scores of CSIT、the total scores of DMQLS modified version and each dimension in the intervention group were lower than those in the control group,the differences were statistically significant(P<0.01);The total effective rate(87.5%) in the intervention group was higher than that in the control group(71.0%), the differences were statistically significant(P<0.05).Conclusion:Pestle needle can reduce clinical symptoms of patients with high-risk diabetic foot and improve clinical efficacy and patients’ quality of life.