“上下同治”特色护理应用于糖尿病足的疗效观察  

Observation of Curative Effect of Special Nursing of "Treating the Upper and Lower Parts Together" Applied to Diabetic Foot

作　　者：刘芯君[1] 刘晓可 刘晓瑞[2] 黄彬洋 LIU Xin-jun LIU Xiao-ke LIU Xiao-rui HUANG Bin-yang(Affiliated Hospital of Chengdu University of TCM, Chengdu, Sichuan, China,610075 Chengdu University of TCM, Chengdu, Sichuan,China,610075)

机构地区：[1]成都中医药大学附属医院,四川成都610075 [2]成都中医药大学,四川成都610075

出　　处：《河南中医》2017年第10期1866-1868,共3页Henan Traditional Chinese Medicine

基　　金：四川省中医(民族医)药专项项目(编号:2016C037)

摘　　要：目的:观察"上下同治"特色护理模式应用于糖尿病足的临床疗效及对足部溃疡面积的影响。方法:将本院收治的糖尿病足患者120例随机分为对照组和观察组各60例,对照组行常规护理,观察组采用"上下同治"中医特色护理,即从上治(耳穴毫针、百会穴敷贴)配合下治(药物鞋垫、药渣熏泡),并着重强调患者的主动参与。在患者入院后1个月、2个月以及3个月3个时间节点上进行足部溃疡面积以及糖尿病足分级评分测定。结果:在3个时间节点,观察组糖尿病足分级评分与对照组比较差异均有统计学意义(P<0.05);观察组溃疡面积小于对照组(P<0.05)。结论:"上下同治"特色护理模式可以改善糖尿病足临床症状,缩小糖尿病足溃疡面积。Objective： To observe the clinical curative effect of special nursing of ＂ treating the upper and lower parts together＂ applied to diabetic foot（ DF） and its influence on the area of foot ulcer. Methods： One hundred and twenty patients with DF who were treated in our hospital were chosen as the research subjects,and randomly divided into the control group and the observation group,with 60 cases in each group. The control group received routine nursing care,while the observation group used TCM special nursing of ＂ treating the upper and lower parts together＂,that was,in the upper parts,there were auricular acupuncture with filiform needle; Baihui acupoint application; In the lower parts,there were medicated insole; foot ulcer area with medicine residue for fumigation. Besides,the active participation of patients was emphasized. Foot ulcer area and diabetic foot grading score were measured after one month＇s,2 months＇ and 3 months＇ treatment respectively. Results： At 3 time points,the diabetic foot grading score of the observation group was statically and significantly different from that of the control group（ P〈0. 05）. The ulcer area of the observation group was smaller than that of the control group（ P〈0. 05）. Conclusion： The special nursing model of ＂ treating the upper and lower parts together＂ can improve the clinical symptoms of diabetic foot and reduce the area of ulcer.

关 键 词：糖尿病足 “上下同治” 耳穴 百会穴 药物鞋垫 药渣熏泡 足部溃疡面积 糖尿病足分级 

分 类 号：R248.1[医药卫生—中医临床基础]