高锰酸钾溶液足浴治疗糖尿病足部溃疡护理观察.docVIP

高锰酸钾溶液足浴治疗糖尿病足部溃疡护理观察 　　摘要目的:探讨糖尿病足溃疡护理过程中配合高锰酸钾溶液足浴的临床价值。方法:对2007年1月～2008年12月收治的48例糖尿病足部合并溃疡患者,随机分为观察组与对照组。两组均给予全身治疗控制血糖和健康宣教,并分别给予足部护理。对照组给予温水清洁足部后换药;观察组给予0.1%浓度高锰酸钾溶液浸泡患足后换药。比较两组创面愈合时间、手术允许所需时间、住院时间及最终治愈时间。结果:观察组治愈时间或达到手术条件所需创面时间、住院时间、临床疗效及患者满意程度,均明显优于对照组,差异有显著性(P0.05)。结论:糖尿病足溃疡在住院护理过程中,配合高锰酸钾溶液足浴治疗切实有效。 　　关键词高锰酸钾糖尿病足溃疡护理 　　doi:10.3969/j.issn.1007-614x.2010.11.231 　　AbstractObjective:To explore clinical application value in the process of diabetic foot ulcer care with the potassium permanganate solution.Methods:From January 2007 to December 2008,diabetic foot ulcers 48 cases with a total of 62 foot ulcers,were randomly divided into two groups for the observed group and the control group.First both groups were controlled blood glucose in some level,established their own health behaviors with foot care,then the control group was cleaned with warm water and given medication on foot,While the observed group was cleaned with 0.1% potassium permanganate solution on foot,Finally they were assessed the wound of foot after treatment and compared healing time of the ulcer or the time surgical wound healing to require,hospitalization time,the final cure time,the clinical efficacy and patient satisfactions.Results:The observation group healing time or required for surgical wounds of time,hospitalization time,clinical efficacy and patient satisfaction were better than the control group,the differences were significant (P0.05).Conclusion: The diabetic foot ulcer care in the hospital during nursing care with potassium permanganate solution is effective,patients satisfaction is higher then before. 　　Keywordspotassium permanganate;diabetic foot;ulcers;Care 　　糖尿病足部溃疡是糖尿病的严重并发症之一,是糖尿病致残和致死的重要原因[1]。由于致病因素复杂,易发生肢端皮肤坏死,甚至出现坏疽而截肢,严重影响了患者生活质量。根据糖尿病足的发展进程及病变程度,给??恰当的治疗与护理至关重要。高锰酸钾有杀菌消毒的作用,已广泛用于清洗皮肤创伤及溃疡,但用于糖尿病足辅助治疗的报道甚少。我院在治疗足部溃疡护理时,配合使用0.1%浓度高锰酸钾溶液浴足,取得了很好效果,现报告如下。 　　资料与方法 　　选择2007年1月～2008年12月我科住院治疗的糖尿病足患者48例,男37例,女11例,年龄36～81岁,平均56.2±7.5岁。足部溃疡62处,空腹血糖7.1～16.25mmol/L,餐后血糖11.3～2