中医辨证施护结合踝泵运动训练在糖尿病足患者的应用

Application of Chinese medicine dialectical care combined with ankle pump exercise training in patients with diabetic foot ulcers

研究中医辨证施护护理结合踝泵运动训练对糖尿病足患者疗效及生存质量和踝肱指数的影响。以我院2018年3月2019年4月诊断的糖尿病足患者100例作为研究对象,采用随机数字表,将以上患者随机分为两组,分别为观察组和对照组,每组患者50例,观察组患者采取中医辩证施护联合踝泵运动训练进行治疗,对照组患者采取中医治疗,两组患者均治疗1个月。分别对两组患者的溃疡面积、经皮氧分压、皮温、踝肱指数以及生活质量进行比较。治疗前,两组患者的溃疡面积之间的差异不存在统计学意义(P>0.05),经过治疗后,两组患者的溃疡面积均显著降低,且观察组患者的溃疡面积显著低于对照组,治疗前,两组患者的经皮氧分压、皮温以及踝肱指数之间的差异不存在统计学意义(P>0.05),经过治疗后,两组患者的经皮氧分压、皮温以及踝肱指数均显著提升,且观察组患者的经皮氧分压、皮温以及踝肱指数显著高于对照组,治疗前,两组患者的生命质量评分之间的差异不存在统计学意义,经过治疗后,两组患者的生命质量评分均显著改善,且观察组患者的生命质量评分均显著高于对照组。中医辨证施护护理结合踝泵运动训练,通过对糖尿病足患者的康复训练,局部循环功能增强,患者的溃疡创面显著降低,生存质量显著提升,建议临床推广。

To study the effect of TCM(The doctor of traditional Chinese medicine)syndrome differentiation nursing combined with ankle pump exercise training on the curative effect,quality of life and ankle brachial index of diabetic foot patients,100 patients with diabetic foot diagnosed in our hospital in March 2018 and April 2019 were selected as the research object.The above patients were randomly divided into two groups:observation group and control group,50 cases in each group.The patients in observation group were treated by dialectical nursing of traditional Chinese medicine combined with ankle pump exercise training,while those in control group were treated by dialectical nursing of traditionae Chinese medicine.both groups were treated for one month.The ulcer area,percutaneous partial pressure of oxygen,skin temperature,ankle-brachial index and quality of life were compared between the two groups.Before treatment,there was no significant difference in ulcer area between the two groups(P>0.05).After treatment,the ulcer area of the two groups significantly reduced,and the ulcer area of the observation group was significantly lower than that of the control group.Before treatment,the percutaneous oxygen partial pressure,skin temperature and ankle-brachial index of the two groups have no significant difference between the two groups(P>0.05).After treatment,the percutaneous partial pressure of oxygen,skin temperature and ankle-brachial index of the two groups significantly increased,and the percutaneous partial pressure of oxygen,skin temperature and ankle-brachial index of the observation group were significantly higher than those of the control group.Before treatment,there was no difference in the quality of life score between the two groups.After treatment,the quality of life score of the two groups were significantly improved,and the quality of life score of the observation group was significantly higher than that of the control group.Through the rekabititation training of diabetc of diabetic foot patients,the local circulatory function was enhnnced,the ulcer wound was sin significa antly reduced,and the quality of life was significantly improved.