摘要
目的评价综合足部护理对糖尿病周围神经病变患者的临床作用。方法将2008-02—2011-07我院收治的糖尿病周围神经病变患者144例随机分为观察组72例和对照组72例,对照组采用常规治疗,控制血糖;观察组在常规治疗基础上配合综合足部护理,检测治疗前和治疗3个月后患者的双侧正中神经、腓神经、尺神经和胫后神经的周围神经传导速度,观察患者双下肢症状的改善情况,评价2组空腹和餐后2h血糖下降情况。结果观察组总有效率91.7%,高于对照组的83.3%,2组比较差异有统计学意义(χ2=5.16,P<0.05);2组治疗前周围神经传导速度比较差异无统计学意义(P>0.05),治疗后周围神经传导速度均有所改善,观察组治疗前后双侧正中神经、腓神经、尺神经和胫后神经的周围神经传导速度差异均有统计学意义(P<0.05),对照组仅胫后神经的周围神经传导速度差异有统计学意义(P<0.05),观察组改善效果明显优于对照组(P<0.05);观察组空腹血糖和餐后2h血糖下降较对照组明显,2组比较差异有统计学意义(P<0.05)。结论综合足部护理可以改善周围神经的传导速度,有利于糖尿病周围神经病变的恢复,提高治疗效果,对治疗糖尿病周围神经病变有重要意义。
Objective To evaluate the effect of comprehensive foot care on patients with diabetic peripheral neuropathy.Methods Totally 144patients with diabetic peripheral neuropathy patients in our hospital from February 2008to July 2011 were randomly divided into the observation group of 72cases and control group of 72cases.Control group received conventional treatment,and control of blood glucose.The observation group received comprehensive foot care based on routine treatment.The conduction velocities of the peripheral nerve were detected before treatment and three months after treatment,such as bilateral median nerve,peroneal nerve,ulnar nerve and posterior tibial nerve.The improvement of symptoms of both lower extremities was observed.The declines of fasting and 2-hour postprandial blood glucose were evaluated in the two groups.Results The total effective rate in observation group was 91.7%,which was higher than that of control group（83.3%）,there was a significant difference between the two groups（χ^2=5.16,P0.05）.The peripheral nerve conduction velocity in the two groups had no difference before treatment（P0.05）;the peripheral nerve conduction velocities of the two groups were improved after treatment.In the median nerve,ulnar nerve,peroneal nerve and posterior tibial nerves of the observation group,the nerve conduction velocities had statistically significant differences before and after treatment（P0.05）,which only in posterior tibial nerve of control group had a statistically significant difference（P0.05）.Compared with control group,the improvement of peripheral nerve conduction velocity in observation group was better after treatment（P0.05）.Compared with control group,the fasting and 2-hour postprandial blood glucose in observation group declined obviously,there was a significant difference between the two groups（P0.05）.Conclusion Comprehensive foot care can improve the conduction velocity of peripheral nerve,and is propitious to the recovery of diabetic peripheral neuropathy,and improves the therapeutic effect.
出处
《中国实用神经疾病杂志》
2013年第12期28-30,共3页
Chinese Journal of Practical Nervous Diseases
关键词
糖尿病周围神经病变
综合足部护理
Diabetic peripheral neuropathy
Comprehensive foot care
Peripheral nerve conduction velocity
Fasting blood glucose
2-hour postprandial blood glucose
