摘要
目的:研究补气活血中药足浴联合护理干预在早期糖尿病足中的应用效果。方法:选择58例早期糖尿病足患者作为研究对象,按入院时间的不同将其分为单一组(予以综合护理干预)和联合组(在单一组的基础上加入补气活血中药足浴护理干预)。比较两组干预前后的下肢胫前神经和腓总神经的感觉神经、运动神经速度,以及踝肱指数。对两组治疗后临床疗效进行评估,并记录两组实验室指标水平变化情况。结果:干预前,两组下肢胫前神经和腓总神经的感觉神经、运动神经速度,以及踝肱指数差异无统计学意义(P>0.05);经干预,联合组的下肢胫前神经和腓总神经的感觉神经、运动神经速度比单一组快,联合组的踝肱指数高于单一组(P<0.05)。治疗后,联合组总有效率高于单一组(P<0.05);干预前,两组白细胞介素-6(Interleukin-6,IL-6)与肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)水平差异无统计学意义(P>0.05);经干预,联合组的IL-6与TNF-α均低于单一组(P<0.05)。结论:将补气活血中药足浴联合护理干预应用至早期糖尿病足患者中,能改善患者的下肢神经传导功能、足部血管运行状态,并提升疗效,减轻炎症反应。
Objective:To study the effects of TCM foot bath plus nursing intervention on early diabetic foot.Methods:According to the time of admission,58 cases were divided into the single group(took comprehensive nursing intervention)and the combined group(received TCM medicine foot bath plus nursing intervention).Results:Before the intervention,the sensory and motor nerve speeds of the anterior tibial nerve and common peroneal nerve,and the ankle-brachial index of patients were not statistically different between the groups(P>0.05).After the intervention,the sensory and motor nerve speeds of the anterior tibial nerve and common peroneal nerve in the combined group were faster than the single group,and the ankle-brachial index in the combined group was higher than that in the single group(P<0.05).After treatment,the total efficiency in the combined group was higher than the single group(P<0.05).Before the intervention,there was no significant difference in the levels of IL-6 and TNF-αbetween the groups(P>0.05).After the intervention,the IL-6 and TNF-αin the combined group were lower than the single group(P<0.05).Conclusion:TCM medicine foot bath plus nursing intervention on early diabetic foot can improve the nerve conduction function of the lower limbs and the running state of the blood vessels of the feet,enhance the curative effects,and reduce the inflammation.
出处
《中医临床研究》
2021年第11期54-56,共3页
Clinical Journal Of Chinese Medicine
关键词
补气活血中药足浴
早期
糖尿病足
综合护理
TCM medicine foot bath for invigorating Qi and blood circulation
Early stage
Diabetic foot
Comprehensive nursing
