Silverloy抗菌产品、中药洗剂与社区干预在糖尿病足护理中的效果观察

Nursing efficacy of Silverloy antimicrobial products,Chinese herbal lotion and community intervention in diabetic foot

目的观察Silverloy抗菌产品、中药洗剂与社区干预在糖尿病足护理中效果。方法将2型糖尿病足高度风险患者180例随机分为对照组、实验组1及实验组2,对照组采用基础治疗与健康教育,实验组1在对照组的基础上+Silverloy抗菌产品+中药洗剂,实验组2在实验组1基础上+定期随访。比较1 a后3组血糖控制情况、糖尿病足溃疡发生率及愈合时间。结果与干预前比较,干预后实验组血糖均明显下降(P<0.01或0.05);与对照组比较,实验组1与实验组2糖尿病足溃疡发生率明显减少,溃疡愈合时间明显缩短,以实验组2更为显著(P<0.01)。结论联合使用Silverloy抗菌产品、中药洗剂和社区干预可有效降低糖尿病足高危患者血糖并减少糖尿病足溃疡发生。

Objective To evaluate the nursing effect of Silverloy antimicrobial products(SAP),Chinese herbal lotion(CHL)and community intervention in diabetic foot.Methods A total of 180 patients with high-risk type 2 diabetic foot randomly received basic therapy and health education(control group),basic therapy and health education+SAP+CHL(experimental group 1),and basic therapy and health education+SAP+CHL+regular follow-up(experimental group 2).Blood glucose level and incidence and healing time of diabetic foot ulcers were compared among three groups after 1-year follow-up.Results Blood glucose level decreased significantly in two experimental groups after intervention(P<0.01 or 0.05).Incidence and healing time of diabetic foot ulcers were lower in two experimental groups than in control group,especially in experimental group 2(P<0.01).Conclusion Combined application of SAP,CHL and community intervention can reduce blood glucose level and incidence of diabetic foot ulcers in patients with high-risk diabetic foot.