567例糖尿病足患者的综合护理实践  

Comprehensive nursing practice on 567 cases of hospitalized patients with diabetic foot

作　　者：童奥[1] 马小艳[1] 朱慧娟[1] 王振宇[1] 关小宏[1] 杨彩哲[1] 吴石白[1] 唐红[1] 

机构地区：[1]空军总医院内分泌科,北京100142

出　　处：《中华损伤与修复杂志（电子版）》2013年第3期59-61,共3页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

摘　　要：目的探讨糖尿病足新治疗模式下的护理思路。方法对567例住院糖尿病足患者在控制血糖、预防低血糖、静脉输液、运动、足部创面、足部持续负压引流、自体干细胞移植、下肢血管介入治疗等方面进行相应护理。结果 512例痊愈出院,4例转外科进一步治疗,48例好转后在门诊换药室继续后期的换药,余3例自行放弃治疗出院。结论多数患者对初期表浅溃疡不重视;控制血糖过程中需关注低血糖事件;合并视网膜病变者输注扩血管药时应警惕眼底出血;糖尿病足患者的运动形式尚有挖掘空间;换药时应关注患者的疼痛觉;及时制定与新技术相配套的临床护理路径。Objective To investgate new treatments of diabetic foot care and mode of thinking. Methods Five hundreds and sixty-seven cases of hospitalized patients with diabetic foot were treated with appropriate cares in the control of blood glucose, hypoglycemia prevention, intravenous fluids, exercise, foot wounds, foot continuous drainage, autologous stem cell transplantation, lower extremity vascular intervention, and so on. Results Five hundreds and twelve cases were discharged, 4 cases turned further surgical treatment, 48 cases improved after the dressing room to continue the out-patient post-dressing, and other 3 cases gave up the treatment. Conclusion Most patients do not pay attention to the initial superficial ulcers. Controlling blood glucose during the event should be concerned about the low blood sugar. Retinal lesions lose vasodilators should be wary of retinal hemorrhage. There is room to explore about the form of exercise in patients with diabetic foot. Patient＇ s pain perception should be concerned in dressing, and technologies matched with the clinical care path should be developed in time.

关 键 词：糖尿病足 新技术 治疗 护理 

分 类 号：R473.5[医药卫生—护理学]