莫匹罗星软膏及超激光治疗早期糖尿病足溃疡时的护理  

Nursing care of patients with early diabetic foot ulcer treated with mupirocin ointment combined with ultra-laser

作　　者：麦素贞 杨惠芳 Mai Suzhen;Yang Huifang(Enping People’s Hospital,Enping 529400,China)

机构地区：[1]恩平市人民医院,529400

出　　处：《国际医药卫生导报》2020年第4期492-495,共4页International Medicine and Health Guidance News

摘　　要：目的研究莫匹罗星软膏与超激光联用对早期糖尿病足溃疡患者治疗过程中的护理措施效果。方法选取2017年6月至2018年6月本院收治的早期糖尿病足溃疡患者30例作为研究对象,通过随机抽签法将其等分成两组,各15例。对照组予以碘伏换药护理,干预组则予以莫匹罗星软膏联合超激光治疗护理。比较两组创面愈合效果,换药次数、愈合时间,干预前后疼痛程度。通过logistic法分析早期糖尿病足溃疡患者预后康复的相关影响因素。结果干预组创面愈合总有效率93.33%与对照组73.33%比较,差异无统计学意义(P>0.05);干预组换药次数、愈合时间分别为(45.12±2.49)次、(39.31±2.20)d,均低于对照组(52.04±2.77)次、(56.23±2.84)d,差异均有统计学意义(均P<0.05);干预后,两组患者VAS评分均低于干预前,且干预组VAS评分为(2.07±0.34)分,低于对照组(3.41±0.51)分,差异均有统计学意义(均P<0.05);经logistic回归分析可知,病程、溃疡面积、足部感染、未采用莫匹罗星软膏与超激光干预均是早期糖尿病足溃疡患者预后不良的独立危险因素,差异均有统计学意义(均P<0.05)。结论莫匹罗星软膏与超激光联用可显著提高早期糖尿病足溃疡患者治疗效果,促进其早日康复,减轻疼痛程度。此外,病程、溃疡面积、足部感染、未采用莫匹罗星软膏与超激光干预均可在一定程度上对患者预后造成不利影响。Objective To study and analyze the effect of nursing care for patients early diabetic foot ulcer treated with mupirocin ointment and ultra-laser.Methods 30 patients with early diabetic foot ulcer admitted to our hospital from June,2017 to June,2018 were included as research objects,and were divided into an intervention group and a control group by random lottery,15 cases for each group.The control group was given iodine volts dressing change nursing,and intervention group was given mopiroxine ointment and ultra-laser treatment and nursing care.The wound healing effect,frequency of dressing change,healing time,and pain degree before and after intervention were compared between the two groups.In addition,logistic method was used to analyze the related influencing factors of the patients’prognosis and rehabilitation.Results The total effective rate of wound healing was higher in the intervention group than that in the control group(93.33%vs.73.00%),but the difference was not statistically significant(P>0.05).The frequency of dressing change and healing time were lower in the intervention group than in the control group[(45.12±2.49)times vs.(52.04±2.77)times and(39.31±2.20)d vs.(56.23±2.84)d,both P<0.05].The VAS scores of the intervention group and control group were lower after than before the intervention(both P<0.05);and the VAS score was lower in the intervention group than in the control group after the intervention[(2.07±0.34)vs.(3.41±0.51);P<0.05].Logistic regression analysis showed that disease course,ulcer area,foot infection,non-use of mopirocin ointment,and no ultra-laser intervention were all independent risk factors for poor prognosis in the patients(all P<0.05).Conclusion Mupirocin ointment combined with ultra-laser can significantly improve the therapeutic effect of patients with early diabetic foot ulcer,promote their early recovery,and reduce their pain.In addition,disease course,ulcer area,foot infection,non-use of mopirocin ointment,and no ultra-laser intervention can all adversely affect t

关 键 词：早期糖尿病足溃疡 莫匹罗星软膏 超激光 护理措施 创面愈合 

分 类 号：R473[医药卫生—护理学]