摘要
目的观察糖尿病足综合康复治疗的临床疗效。方法选取52例糖尿病足患者，按随机数字表法分为康复组和对照组，每组各26例，对照组给予健康教育、内科基础治疗和局部处理，康复组患者在此基础上给予有氧运动，自10min／次开始，逐步延长至30～40min／次，可穿插必要的间歇，但达到靶心率的累计时间以20一30min／次为佳；反复进行毕格尔运动1h／次，2次／日；红外线治疗，每次30min，1次／日；超短波无热量或微热量治疗，每次15～20min，1次／日；康复治疗每周6d，连续4周，分别于治疗前和治疗后依据Wagner分级下降、创面愈合情况及自觉症状改善状况评估治疗效果，采用《糖尿病患者生存质量特异性量表》评估患者生活质量。结果康复组治疗后的总有效率88．46％，对照组的总有效率73．08％，2组疗效有统计学意义（P〈0．05）；2组患者生活质量评估显示治疗后社会关系、生理功能、心理或精神及治疗影响各维度积分与治疗前比较，差异有统计学意义（P〈0．05）；2组间治疗后比较，康复组生活质量4个维度均较对照组好转，差异有统计学意义（P〈0．01）。结论综合康复治疗有利于改善糖尿病足的预后，可提高糖尿病患者的生活质量。
Objective To investigate the clinical effects of comprehensive rehabilitation treatment for patients with a diabetic foot. Methods Fifty-two patients with one diabetic foot were randomly divided into a rehabilitation group （ n = 26） and a control group （ n = 26）. The patients in the control group received conventional treatment including health education, basic medical therapy and focal treatment of the foot. In addition to the conventional treatment, the rehabilitation group was treated with aerobic exercise, Beecher＇s exercise regimen, infrared therapy and uhrashortwave therapy 6 days a week for 4 weeks. The therapeutic effect and quality of life were evaluated before and after treatment. Results The effectiveness rate of the rehabilitation group was significantly higher than that of the control group （88.46% vs 73.08% ） after treatment. The quality of life scores in both groups were significantly better than those before treatment, including on the social relationship dimension, the physiological function dimen- sion, the mental/psychology dimension and the therapy influence section. Average quality of life scores in the rehabilitation group had improved significantly more than in the control group. Conclusion Comprehensive rehabilita- tion is beneficial to prevent the progress of diabetic foot and to improve the quality of life of patients with a diabetic foot.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2012年第2期125-128,共4页
Chinese Journal of Physical Medicine and Rehabilitation
