摘要
目的:观察在常规治疗与护理措施基础上加用中药足浴和按摩穴位干预0级糖尿病足的临床疗效。方法:将110例0级糖尿病足患者随机分为对照组54例和观察组56例。2组均采用常规疗法与护理措施,观察组加用中药足浴配合穴位按摩,均连续观察4周。评定治疗前后的症状、体征(麻木、发凉、刺痛、皮肤颜色、足背动脉搏动及间歇性跛行)评分与多伦多临床神经病变评分(TCSS)。结果:治疗后,观察组临床疗效优于对照组(P <0.05),TCSS评分分级情况优于对照组(P <0.05)。2组症状、体征评分和TCSS均较治疗前下降(P <0.01),观察组症状、体征评分和TCSS均低于对照组(P <0.01)。结论:在常规治疗与护理措施基础上加用中药足浴和按摩穴位干预0级糖尿病足患者,可起到有效改善临床症状、减轻神经损害的作用,且此两种外治方法安全性高、舒适度强、副作用小、操作简便。
Objective:To observe the clinical effect of the additional application of foot bath with Chinese herbal medicine and point massage based on the routine treatment and nursing measures in treating grade-0 diabetic foot. Methods:A total of 110 patients with grade-0 diabetic foot were randomly divided into the control group and the observation group,with 54 and 56 cases in each group respectively. Both groups were treated with routine therapy and nursing measures,while the observation group was additionally treated with foot bath with Chinese herbal medicine and point massage. Both groups were observed for four months. Before and after treatment,the scores of symptoms,signs(including numbness,coldness,prickling pain,skin color,foot dorsal pulse and intermittent claudication) and Toronto clinical scoring system on neuropathy(TCSS) were assessed. Results:After treatment,the clinical curative effect in the observation group was superior to that in the control group(P < 0.05). The TCSS grading in the observation group was better than that in the control group(P < 0.05).Scores of symptoms,signs,and TCSS were decreased in both groups when compared with those before treatment(P <0.01),the scores of symptomes,signs,and TCSS in the observation group were lower than those in the control group(P <0.01). Conclusion:The additional application of foot bath with Chinese herbal medicine and point massage based on the routine treatment and nursing measures can improve clinical symptoms and alleviate nerve damage,and these two external treatments have high safety,strong comfort,small side effects and simple operation.
出处
《新中医》
CAS
2019年第3期249-251,共3页
New Chinese Medicine
关键词
0级糖尿病足
中西医结合疗法
护理
中药足浴
穴位按摩
多伦多临床神经病变评分(TCSS)
Grade-0 diabetic foot
Integrated Chinese and western medicine therapy
Nursing
Foot bath with Chinese herbal medicine
Point massage
Toronto clinical scoring system on neuropathy(TCSS)
作者简介
何海英(1978-),女,主管护师,主要从事内分泌科护理工作。
