早期综合物理因子治疗对糖尿病足溃疡愈合的影响  

Effects of early comprehensive rehabilitation treatment of patients with diabetic foot ulcers

作　　者：潘翠环[1] 罗爱华[1] 钟伟邦[2] 谢咏红[1] 张慈凤[1] 

机构地区：[1]广州医学院第二附属医院康复科,广州510260 [2]广州医学院第二附属医院超声诊断科

出　　处：《中华物理医学与康复杂志》2005年第5期294-297,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的探讨早期综合物理因子治疗糖尿病足溃疡的疗效。方法对138例确诊为糖尿病足的患者进行回顾性研究,分别对接受早期综合物理因子治疗或单纯药物治疗的2组患者进行疗效比较,早期综合物理因子治疗包括红外线、超短波、紫外线、漩涡浴、气血循环仪及高压氧等。结果2组患者经相应治疗后,发现综合物理治疗组患者的创面愈合率明显高于单纯药物治疗组,其溃疡平均愈合时间也较单纯药物治疗组明显缩短,并可最大限度地抑制糖尿病足溃疡愈合后的疤痕挛缩,尽可能地保留患侧肢体的运动功能,彩色超声多普勒检查还发现,综合物理治疗组患者经治疗后,其患肢血液流速较单纯药物治疗组明显加快。结论早期综合物理因子治疗可加快糖尿病足患者溃疡愈合,降低糖尿病足患者残残率,对提高患者生存质量,减轻家庭及社会负担均有重要意义。Objective To study the effect of early comprehensive rehabilitation treatment on patients with diabetic foot ulcers and scar. Methods Totally 138 patients with diabetic foot ulcers were randomly divided into a comprehensive therapy group and a control group. The comprehensive therapy group treated with medications combined with comprehensive rehabilitation, including ultrashort wave therapy, ultraviolet therapy, hydrotherapy, sequential circulator therapy and hyperbaric oxygen therapy, and the control group only received drug therapy. The therapeutic effects of the two groups were analyzed. Results There was significant difference in the recovery ratio between the two groups, and the recovery time of comprehensive therapy group was much shorter than that of the control group, the contracture caused by the scar of the comprehensive therapy group was less than that of the control group, the motor function of patients presented great difference in two groups. Ultrasonic Doppler examine found that the velocity of blood of diabetic foot in comprehensive therapy group was faster than that of control group. Conclusion Early comprehensive rehabilitation treatment was useful for treating diabetic foot ulcers.

关 键 词：综合物理因子治疗 糖尿病足 溃疡愈合 包括红外线 超短波 紫外线 

分 类 号：R587.2[医药卫生—内分泌]