足浴对早期糖尿病足的控制.doc

足浴对早期糖尿病足的控制 The diabetic foot is defined and distal end of lower limb abnormalities and various degree of peripheral vascular disease associated with foot (ankle or foot below the ankle) infection, ulcer and (or) deep tissue damage. The clinical manifestations of ulcer and gangrene of the foot, the clinical control of blood glucose level is the key to prevent diabetic foot, on the basis of active nursing intervention, is conducive to the promotion of the lesions improved, reduce the disability. In recent years, adopting the method of traditional Chinese medicine syndrome differentiation theory of self-made Chinese medicine lotion syndrome nursing, ideal for controlling the clinical effect of early local condition of patients with diabetic foot, report as follows now. 1临床资料与方法 1 clinical data and methods 一般资料:选自我院2007年5月~2011年5月间收治的住院病人56例,符合《糖尿病足诊断疗效标准》[1],采用Wagner分级法[2],56例病人均为糖尿病足0级和1级,病人有糖尿病病史,主要症状有四肢远端感觉、运动障碍,表现为肢体麻木、挛急疼痛,肌肉无力等;主要体征有震动觉、压力觉、痛觉、温度觉的减退以及跟腱反射的减弱或消失等;辅助物理学检查、神经电生理检查有异常改变,QST和NCS中至少两项异常。将56例病人随机分成观察组和对照组,两组资料比较,差异无显着性,具有可比性。 General information: 56 cases of inpatients in our hospital from 2007 May ~2011 years were treated between May, accord with standard clinical diagnosis of diabetic foot [1], using the Wagner classification [2], 56 patients were diabetic foot 0 level and 1 level, the patient with a history of diabetes, are the main symptoms of limbs far end feeling, movement disorders, manifested as limb numbness, spasm and pain, muscle weakness and so on; main signs are vibration perception, sensation, pain, temperature sensation of pressure loss and Achilles tendon reflex abate or disappear; auxiliary physics examination, electrophysiological abnormalities, QST and NCS in at least two abnormal. Methods 56 cases were randomly divided into observation group and control group, compared two groups of data, no significant difference, comparable. 2方法 The 2 method 1常规治疗:两组均根据医嘱使用胰岛素和口服降糖药,有效控制血糖和血压,开展健康教育,指导合理饮食,选择合适的鞋袜,预防意外损伤,适度进行散步、太极拳等运动。 1 convent