中医延续性护理方案对糖尿病周围神经病变患者临床疗效、周围神经传导速度及心理痛苦的影响  

Effect of Continuous Nursing Program of Traditional Chinese Medicine on Clinical Efficacy,Peripheral Nerve Conduction Velocity and Psychological Distress for Patients with Diabetic Peripheral Neuropathy

作　　者：胡艳粉 赵晓婷[2] 李领侠[2] 杨海霞[3] 权晓娟[2] 张莹[2] 张军[1] HU Yanfen;ZHAO Xiaoting;LI Lingxia(School of Health,Wuhan University,Wuhan Hubei 430071,China;The Cadre Third Ward,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi’an Shaanxi 710004,China)

机构地区：[1]武汉大学健康学院,湖北武汉430071 [2]西安交通大学第二附属医院干部病房三病区,陕西西安710004 [3]西安交通大学第二附属医院中医科,陕西西安710004

出　　处：《四川中医》2021年第1期202-205,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：西安交通大学医学院第二附属医院科研基金护理研究项目(编号:YJ(HL)201624(1),YJ(HL)201604)。

摘　　要：目的:观察中医延续性护理方案实施对糖尿病周围神经病变患者临床疗效、周围神经传导速度及心理痛苦的影响。方法:回顾性分析于2018年3月~2019年5月我院住院部收治的124例糖尿病周围神经病变患者临床资料,根据护理方法不同,分为观察组(64例,常规护理+中医延续性护理)和对照组(60例,常规护理)。对比两组患者生存质量、临床疗效、周围神经传导速度、心理痛苦程度。结果:护理后,观察组DSQL量表总均分(16.01±3.31)分明显低于对照组总均分(18.94±3.66)分(P<0.05);观察组总有效率96.88%显著高于对照组76.67%(P<0.05);观察组腓总神经、正中神经、股神经、尺神经、臂丛神经传导速度显著快于对照组(P<0.05);周围神经传导总平均速度(50.79±3.24)m/s显著优于对照组周围神经传导总平均速度(45.68±2.91)m/s(P<0.05);观察组DDS总均分(6.08±3.31)分明显低于对照组(7.64±3.97)分(P<0.05)。结论:对糖尿病周围神经病变患者实施中医延续性护理,可改善患者生活质量,提高临床疗效,促进周围神经传导速度,缓解患者的痛苦心理,临床价值高。Objective: To explore the effect of continuous nursing program of traditional Chinese medicine on clinical efficacy, peripheral nerve conduction velocity and psychological distress for patients with diabetic peripheral neuropathy. Methods: The clinical data of 124 patients with diabetic peripheral neuropathy admitted to the inpatient department of our hospital from March 2018 to May 2019 were retrospectively analyzed. According to different nursing methods, they were divided into an observation group(64 cases, routine care+continuous nursing program of traditional Chinese medicine) and a controlled group(60 cases, routine care). The quality of life, clinical efficacy, peripheral nerve conduction velocity, and degree of psychological distress were compared between the two groups. Results: After nursing, the total average score of WHOQOL-BREF scale in the observation group(16.01±3.31) was significantly lower than that in the controlled group(18.94±3.66)(P<0.05). The total effective rate of patients in the observation group was 96.88%,which was significantly higher than that of the controlled group which was 76.67%(P<0.05). The conduction velocity of the common peroneal nerve, median nerve, femoral nerve, ulnar nerve, and brachial plexus in the observation group was significantly faster than that in the controlled group(P<0.05). The total average velocity of peripheral nerve conduction(50.79±3.24) m/s was significantly better than that of the controlled group(45.68±2.91) m/s(P<0.05). The total average score of DDS in the observation group(6.08±3.31) was significantly lower than that in the controlled group(7.64±3.97)(P<0.05). Conclusion: The continuous nursing of traditional Chinese medicine for patients with diabetic peripheral neuropathy can improve the patient’s quality of life, improve clinical efficacy, promote the conduction speed of peripheral nerves, relieve the patient’s pain and has great clinical value.

关 键 词：中医延续性护理 糖尿病 周围神经病变 

分 类 号：R248.1[医药卫生—中医临床基础]