摘要
目的分析协同护理联合踝泵运动训练在糖尿病足患者康复中的应用价值。方法选取本院2019年1月—2020年12月收治的100例糖尿病足患者为研究对象,根据随机数字表法将其分为对照组及研究组,每组50例。两组均采用常规干预,在此基础上,对照组采用协同护理,观察组采用协同护理联合踝泵运动训练,两组均干预2个月。比较两组干预前后的Wagner分级、足部溃疡面积、经皮氧分压(TcPO)、踝肱指数及视觉模拟评分(VAS)。结果干预后,研究组的Wagner分级优于对照组,差异有统计学意义(P<0.05)。干预后,两组的足部溃疡面积均较干预前缩小,TcPO、踝肱指数均较干预前升高,且研究组足部溃疡面积小于对照组,TcPO、踝肱指数均高于对照组,组间差异有统计学意义(P<0.05)。干预后,两组的VAS评分均较干预前降低,且研究组的(2.03±0.48)分低于对照组的(3.11±0.52)分,组间差异有统计学意义(P<0.05)。结论糖尿病足患者采用协同护理联合踝泵运动训练,可促进足部创面愈合,减轻疼痛,值得临床推广使用。
Objective To analyze the application value of coordinated nursing combined with ankle pump exercise on rehabilitation of patients with diabetic foot.Methods A total of 100 patients with diabetic foot admitted to the hospital from January 2019 to December 2020 were selected as the research objects,and they were divided into a control group and a study group according to random number table method,with 50 patients in each group.Both groups were treated with routine intervention.On this basis,the control group was treated with coordinated nursing,and the observation group was treated with coordinated nursing combined with ankle pump exercise training.Intervention lasted for 2 months in both groups.The Wagner grading,foot ulcer area,transcutaneous oxygen pressure(TcPO),ankle-brachial index and visual analogue scale(VAS)before and after intervention were compared between the two groups.Results After intervention,the Wagner grading of the study group was better than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the area of foot ulcer were reduced in both groups compared with before intervention,and TcPOand ankle-brachial index were increased,the area of foot ulcer in the study group was smaller than that in the control group,while TcPOand ankle-brachial index were higher than those in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the VAS scores of both groups were lower than before intervention,and the score of study group was(2.03±0.48)points,which was lower than(3.11±0.52)points of the control group,the difference between the groups was statistically significant(P<0.05).Conclusion Diabetic foot patients using coordinated nursing combined with ankle pump exercise training can promote the healing of foot wounds,relieve pain,worthy of clinical application.
作者
林雪
LIN Xue(Department of Endocrinology,Zibo Hospital,Shandong Guoxin Health Care Group,Zibo Shandong,255120,China)
出处
《反射疗法与康复医学》
2022年第3期67-70,共4页
Reflexology And Rehabilitation Medicine
关键词
糖尿病足
协同护理
踝泵运动训练
经皮氧分压
踝肱指数
Diabetic foot
Coordinated nursing
Ankle pump training
Transcutaneous oxygen pressure
Ankle-Brachial index
