中医特色护理在糖尿病周围神经病变患者中的应用效果

Application effects of traditional Chinese medicine characteristic nursing in patients with diabetic peripheral neuropathy

目的:观察中医特色护理在糖尿病周围神经病变(DPN)患者中的应用效果。方法:选取2019年7月至2021年10月该院收治的84例DPN患者进行前瞻性研究,按随机数字表法将其分为对照组与观察组各42例。对照组采取常规护理,观察组在对照组基础上采取中医特色护理,比较两组护理前后血糖指标[空腹血糖(FBG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)]水平、足部神经传导功能指标[腓神经运动神经传导速度(MCV)、感觉神经传导速度(SCV)]水平和临床症状[多伦多临床神经病变评分量表(TCSS)]评分。结果:护理后,两组FBG、2hPG、HbA1c水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组MCV、SCV水平均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组神经反射、神经症状、感觉功能等TCSS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用中医特色护理可降低DNP患者血糖指标水平和TCSS评分,提高足部神经传导功能指标水平,其效果优于单纯常规护理。

Objective:To observe application effect of traditional Chinese medicine characteristic nursing in patients with diabetic peripheral neuropathy(DPN).Methods:A prospective study was conducted on 84 patients with DPN admitted to the hospital from July 2019 to October 2021.They were divided into control group and observation group according to the random number table method,42 cases in each.The control group received routine nursing,while the observation group received the traditional Chinese medicine characteristic nursing on the basis of that of the control group.The levels of blood glucose indexes[fasting blood glucose(FBG),2 h postprandial blood glucose(2hPG),glycosylated hemoglobin(HbA1c)],the foot nerve conduction function index levels[peroneal motor nerve conduction velocity(MCV),sensory nerve conduction velocity(SCV)],and the clinical symptom score[Toronto clinical scoring scale(TCSS)]were compared between the two groups before and after the nursing.Results:After the nursing,the levels of FBG,2hPG and HbA1c in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The levels of MCV and SCV in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the TCSS scores of nerve reflex,neurological symptoms and sensory function in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the traditional Chinese medicine characteristic nursing can reduce the blood glucose index levels and the TCSS scores of the DNP patients,and improve the levels of foot nerve conduction function indexes.Moreover,it is superior to single routine nursing.