综合足部护理对糖尿病周围神经病变患者预后的影响  

Impact of comprehensive foot care on the prognosis of diabetic patients with peripheral neuropathy

作　　者：彭洁强[1] 王明军[1] 贺丽[1] 叶翠钿[1] 叶肖红[1] 吴洪[1] 冉春风[1] 

机构地区：[1]深圳市龙岗中心医院,广东深圳518116

出　　处：《齐鲁护理杂志（上旬刊）》2011年第12期1-2,共2页Journal of Qilu Nursing

基　　金：深圳市龙岗区科技计划项目(YLL2010062)

摘　　要：目的:探讨综合足部护理对糖尿病周围神经病变(DPN)患者预后的影响。方法:将40例DPN患者随机分为观察组和对照组各20例,两组患者均给予糖尿病饮食并接受我院磁热疗配合电针治疗糖尿病方法,控制血糖配合营养神经、活血化淤类药物等治疗。对照组给予常规护理,观察组实施综合足部护理,周期为3个月。比较两组患者空腹血糖及餐后2 h血糖下降量、临床症状改善情况。结果:观察组空腹血糖及餐后2 h血糖下降量、临床症状改善情况与对照组比较差异有统计学意义(P<0.05)。结论:综合足部护理可改善DPN患者神经传导速度及相关症状,有效预防并发症的发生。Objective ： To explore the impact of comprehensive foot care on the prognosis of diabetic patients with peripheral neuropathy. Methods： 40 diabetic patients with peripheral neuropathy were randomly divided into observation and control groups （20 patients in each group ）. The patients in both groups were treated with diabetic diet, magnetic induction hyperthermia com- bined with electro - acupuncture therapy and drug therapy for blood sugar control and promoting blood circulation, etc.. Routine nursing care was taken in the control group and comprehensive foot care was implemented in the observation group, the period lasted 3 months. The fasting plasma glucose, the decreased value of 2 - hour postprandial blood glucose and the improvement of clinical symptoms were compared between the two groups. Results： There were statistically significant differences in the comparison of the fasting plasma glucose, the decreased value of 2 - hour postprandial blood glucose and the improvement of clinical symptoms between the two groups （ P 〈 0. 05 ）. Conclusion ： The comprehensive foot care can improve nerve conduction velocity and related symptoms of the diabetic patients with peripheral neuropathy and prevent the incidence of complications as well.

关 键 词：足部护理 糖尿病 周围神经病变 

分 类 号：R473.5[医药卫生—护理学]