消渴痹足浴方聯合護理干預治療糖尿病周圍神經病變的效果觀察

丁世玲　張征宇　劉火玲

[摘要] 目的 探討消渴痹足浴方聯合護理干預治療糖尿病周圍神經病變的臨床價值。 方法 隨機選擇我院2016年1月～2017年12月糖尿病周圍神經病變患者240例作為研究對象，分為觀察組和對照組各120例，對照組給予糖尿病知識教育及常規降糖治療，糾正血脂異常，控制高血壓，并給予西洛他唑片，口服2片，觀察組在對照組基礎上給予消渴痹足浴方進行足浴，每日1次，10日為一個療程，同時實施護理干預：健康教育、心理護理、飲食護理、運動指導、足浴護理。 結果 兩組糖尿病周圍神經病變患者治療前MCV（36.76±2.98）vs（37.07±2.86）m/s、SCV（40.87±3.76）vs（40.52±3.87）m/s比較，無顯著性差異（P>0.05），2個療程后觀察組MCV（48.18±4.67）m/s、SCV（51.96±6.16）m/s均高于對照組的（40.09±4.45）m/s、（46.76±5.75）m/s，差異有統計學意義（P<0.05）；觀察組治療總有效93.33%高于對照組的73.33%，差異有統計學意義（P<0.05）。 結論 在治療糖尿病周圍神經病變患者時，中藥熏洗足部護理配合提升患者足部神經傳導功能，臨床效果顯著，值得在臨床上推廣應用。

[關鍵詞] 消渴痹足浴方；護理干預；糖尿病；周圍神經病變

[中圖分類號] R473 [文獻標識碼] B [文章編號] 1673-9701（2018）23-0156-03

Therapeutic effect of Xiaoke foot bath combined with nursing intervention in treating diabetic peripheral neuropathy

DING Shiling ZHANG Zhengyu LIU Huoling ZOU Xinhua

Department of Endocrinology， Lishui City Traditional Chinese Medicine Hospital in Zhejiang Province， Lishui 323000， China

[Abstract] Objective To investigate the clinical value of Xiaoke foot bath combined with nursing intervention in the treatment of diabetic peripheral neuropathy. Methods 240 patients with diabetic peripheral neuropathy from January 2016 to December 2017 in our hospital were randomly selected as the study object and were divided into observation group and control group， with 120 cases in each group. The control group was given diabetes knowledge education and conventional hypoglycemic therapy to correct dyslipidemia and control high blood pressure， combined with cilostazol tablets， oral 2 tablets. The observation group was given Xiaoke foot bath based on the treatment of the control group， once a day， 10 days for a course of treatment， as well as the implementation of nursing intervention including health education， psychological care， dietary care， exercise instruction， footbath care. Results There was no significant difference in MCV（36.76±2.98） vs （37.07±2.86） m/s and SCV （40.87±3.76） vs （40.52±3.87） m/s between the two groups of patients with diabetic peripheral neuropathy before treatment（P>0.05）. After 2 courses of treatment， the MCV（48.18±4.67） m/s and SCV（51.96±6.16） m/s in the observation group were higher than（40.09±4.45） m/s and （46.76±5.75） m/s in the control group， and the difference between the two groups was significant（P<0.05）. The total effective 93.33% in the observation group was higher than the 73.33% in the control group， and the difference between the two groups was statistically significant（P<0.05）. Conclusion Chinese medicine fumigation combined with foot care to enhance the patient's foot nerve conduction function has significant clinical effect in the treatment of patients with diabetic peripheral neuropathy， and is worthy of clinical application.

[Key words] Xiaoke foot bath； Nursing intervention； Diabetes mellitus； Peripheral neuropathy

糖尿病周圍神經病變是糖尿病常見的并發癥之一，臨床表現為肢體麻木、疼痛、發涼，嚴重者伴有足部潰瘍、壞疽等[1]，目前臨床西醫治療無治愈方法，多以藥物控制為主，但長期用藥不良反應較多，效果有限，臨床應用受到一定程度的限制[2]，而中藥應用于糖尿病周圍神經病變的治療正日益被臨床所重視[3]。本研究將中藥足浴聯合護理干預運用于糖尿病周圍神經病變的治療中，取得較好效果，現報道如下。

1 資料與方法

1.1 一般資料

隨機選擇2016年1月～2017年12月糖尿病周圍神經病變患者240例作為研究對象，符合相關診斷標準[4]：入院時有肢體麻木、感覺異常以及疼痛等癥狀表現，腱反射減弱明顯，神經電生理檢查下肢運動神經傳導速度不足45 m/s，感覺神經傳導速度不足40 m/s。排……