| 引用本文:李淑华，李巨奇，贾晓林，刘树林，方志辉，沈创鹏，黄春容，李吉武.象皮粉治疗糖尿病足IV期4/4-D级临床疗效观察与护理体会[J].世界中医药,2012,7(4):. |
|
| 象皮粉治疗糖尿病足IV期4/4-D级临床疗效观察与护理体会 |
| The Clinical Observation and Nursing Experience for Diabetic Foot in Stage IV Level 4/4-D with Elephant-skin Powder |
| 投稿时间：2012-05-18 |
| DOI： |
| 中文关键词: 糖尿病足/中医药疗法 护理 象皮粉 |
| English Keywords:Diabetic foot/Chinese medical therapy Nursing Elephant-skin powder |
| 基金项目: |
|
| 摘要点击次数: 1338 |
| 全文下载次数: 1374 |
| 中文摘要: |
| 目的：观察象皮粉治疗糖尿病足Ⅳ期4/4-D级临床疗效，总结治疗和护理体会。方法：101例患者随机分为治疗组和对照组，分别采用象皮粉辅以中药注射剂、胰岛素+磺胺嘧啶银软膏外敷治疗，疗程4周。治行前后观察溃疡创面大小、皮肤颜色、肤温变化、感觉异常（冷热感迟钝、疼痛、麻木）及足背动脉搏动变化。结果：象皮粉辅以中药针剂外用治疗Ⅳ期4/4-D级糖尿病足，对于感觉异常、足背动脉搏动及创周肤温、肤色变化均有改善，治疗组除感觉异常与对照组比较相似之外，足背动脉搏动、创周肤温、肤色改善及总体疗效比较均有统计学意义（P<0.05）。结论：象皮粉配合中药注射剂对于加快Ⅳ期4/4-D级糖尿病足深层瘘道脓液、渗液外排，创面表皮细胞、毛细血管再生，改善局部组织供血和肉芽组织生长，具有良好的改善和增强作用。Ⅳ期4/4-D级糖尿病足药物治疗配合基础、专科护理，重点加强足部护理、心理护理，足部护理既要重视足部皮肤，更要重视足部血管、神经的护理康复，对促进糖尿病足近、远期愈合，提高患者生存质量极其重要。 |
| English Summary: |
| To investigate elephant-skin powder for the treatment of diabetic foot in stage IV level 4/4-D， and provide treatment and nursing experience. Methods: Divided 101 cases into treatment and control groups randomly， gave elephant-skin powder with traditional Chinese medicine injections， insulin + silver sulfadiazine ointment topical treatment for 4 weeks， observed changes of ulcers size， skin color， skin temperature， paresthesia (hot and cold sense of slow， pain， numbness) and dorsalis pedis artery pulse before and after intervention， respectively. Results: In the treatment of diabetic foot Stage IV level 4/4-D， elephant-skin powder supplemented with traditional Chinese medicine injection can relieve paresthesia， dorsalis pedis artery pulse， skin temperature and color changes. Except paresthesia， improvement of the dorsalis pedis artery pulse， skin temperature， skin color and the overall effects of the treatment group were significant better than the control group (P<0.05). Conclusion: Elephant-skin powder supplemented with traditional Chinese medicine injection can speed up deep fistula pus drainage， improve regeneration of epidermal cells and capillary vessels， promote blood circulation of local organizations and granulation tissue growth. Drug treatment combined with psychological care and foot care， with special attention to skin， vessels， and nerves， is crucial to significantly promote the short-term and long-term efficacies and survival quality of diabetic foot patients in stage IV level 4/4-D. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
