中医五音疗法联合隔姜灸在糖尿病足患者中的应用研究

Study on the Application of Traditional Chinese Medicine Five-tone Therapy Combined with Ginger Moxibustion in Patients with Diabetic Feet

目的分析在糖尿病足患者的护理过程中应用中医五音疗法联合隔姜灸的临床效果。方法选取2022年12月—2023年12月上海市中医药大学附属中西医结合医院诊治的糖尿病足患者66例,按照护理方法不同分为对照组和观察组,各33例。对照组进行临床常规护理干预,观察组加用中医五音疗法联合隔姜灸干预。比较两组空腹血糖、餐后2 h血糖水平、自护能力、足部健康行为能力。结果干预后,观察组空腹血糖、餐后2 h血糖低于对照组,差异有统计学意义(P均<0.05)。观察组自护能力评分(认知、行为、环境管理)均高于对照组,差异有统计学意义(P均<0.05)。观察组足部健康行为量表评分(谨慎选择鞋袜、恰当修剪指甲、恰当洗脚、足部保健)均高于对照组,差异有统计学意义(P均<0.05)。结论中医五音疗法联合隔姜灸的护理模式可以改善糖尿病足患者的健康水平,提升患者的自护能力,促进创面愈合,改善患者足部健康行为。

Objective To analyze the clinical effect of traditional Chinese medicine five-tone therapy combined with ginger moxibustion in the nursing process of diabetic foot patients.Methods From December 2022 to December 2023,a total of 66 patients with diabetic foot diagnosed and treated in the Shanghai University of Traditional Chinese Medicine Affiliated Hospital of Integrated Traditional Chinese and Western Medicine were selected and divided into control group and observation group according to different nursing methods,with 33 cases in each group.The control group was given clinical routine nursing intervention,and the observation group was given traditional Chinese medicine five-tone therapy combined with ginger moxibustion intervention.Fasting blood glucose,2-hour postprandial blood glucose levels,self-care ability and foot health behavior ability were compared between the two groups.Results After intervention,fasting blood glucose and 2-hour postprandial blood glucose in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The scores of self-care ability(cognition,behavior,environmental management)in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).The scores of foot health behavior scale(careful choice of shoes and socks,proper nail trimming,proper foot washing,foot health care)in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion The nursing mode of traditional Chinese medicine five-tone therapy combined with ginger moxibustion can improve the health level of diabetic foot patients,improve their self-care ability,promote wound healing and improve their foot health behavior.