医护一体化模式在湿润烧伤膏联合负压封闭引流治疗糖尿病足的临床应用  

Application of Integrated Medical and Nursing Mode in Treating Diabetic Foot with MEBO and Vacuum Sealing Drainage

作　　者：魏庆莉[1] 刘凤娥[1] 赵丹 刘艳[1] 张胜利[1] WEI Qing-li;LIU Feng-e;ZHAO Dan(Department of Endocrinology.The Third People's Hospital of Datong,Shanxi(037008),China)

机构地区：[1]山西省大同市第三人民医院内分泌科,山西大同037008

出　　处：《中国中西医结合外科杂志》2022年第3期406-408,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:探讨医护一体化模式在湿润烧伤膏联合负压封闭引流(VSD)治疗糖尿病足(DF)中的应用价值。方法:选择2019年6月—2021年6月我院收治的68例DF患者,采用随机数字表法随机分为常规组和一体化组,每组34例,两组患者均开展湿润烧伤膏联合VSD治疗,临床护理中分别实施常规模式护理、医护一体化模式护理。对比两组患者的溃疡创面愈合效果和临床症状改善效果。结果:一体化组患者创面愈合获效率为91.18%,高于常规组的70.59%,差异有统计学意义(P<0.05);一体化组患者溃疡创面愈合时间为(14.25±2.15)d,短于常规组的(20.17±3.26)d,差异有统计学意义(P<0.05)。干预后,一体化组患者患足疼痛、肿胀、麻木、跛行症状评分均低于常规组,差异有统计学意义(P<0.05)。结论:湿润烧伤膏联合VSD治疗中应用医护一体化模式能有效提高DF患者的症状改善效果和溃疡愈合效果。Objective To explore the implementation method of integrated nursing care mode and its application value in treating diabetic foot(DF)with MEBO and vacuum sealing drainage(VSD).Methods 68 DF patients admitted to our hospital were randomly divided into conventional group(n=34)and integrated group(n=34)by random number table method.Both groups were treated with MEBO combined with VSD.Routine mode nursing and integrated medical care mode nursing were implemented in clinical nursing.The ulcer wound healing effect and clinical symptom improvement effect of the two groups were compared.Results The rate of wound healing in the integrated group was 91.18%,which was higher than 70.59%in the conventional group(P<0.05).The healing time of ulcer wound in the integrated group was(14.25±2.15)d,which was shorter than that in the conventional group(20.17±3.26)d(P<0.05).After intervention,the scores of foot pain,swelling,numbness and claudication in the integrated group were lower than those in the routine group(P<0.05).Conclusion The application of integrated medical care model in the treatment of MEBO combined with VSD can effectively improve the symptom improvement effect and ulcer healing effect of DF patients.

关 键 词：糖尿病足 医护一体化模式 湿润烧伤膏 负压封闭引流 溃疡愈合 

分 类 号：R473.5[医药卫生—护理学]