摘要
目的观察和分析低分子肝素钙联合心理干预治疗糖尿病足的作用。方法选取2015年12月～2017年1月于我院住院治疗的100例糖尿病足患者作为研究对象。将所有患者随机分为观察组和对照组,每组各50例,两组均予控制血糖、降血脂、改善血液流变、扩血管、改善微循环、抗感染治疗、消除诱发因素、支持治疗等治疗,同时予诺和灵R(诺和锐)和诺和灵N(长秀霖)强化治疗或诺和灵30R强化治疗降血糖;低分子肝素钙5000 IU,腹部脐旁2 cm皮下注射,每12小时1次,连续治疗15 d。观察组同时联合心理干预,比较两组的治疗效果、治疗前后的VAS评分及临床症状改善情况。结果观察组患者治疗后的总有效率为94.00%,明显高于对照组,差异具有统计学意义(P<0.05)。观察组患者治疗后的VAS评分明显低于对照组,差异具有统计学意义(P<0.05)。观察组患者治疗后的足背动脉的搏动、皮肤皴裂、麻木例数明显少于对照组,差异具有统计学意义(P<0.05)。结论低分子肝素钙联合心理干预治疗糖尿病足临床疗效明显提高,且能明显减少患者的疼痛,缓解临床症状,值得广泛推广和应用。
Objective To observe and analyze the effect of low molecular weight heparin calcium combined with psychological intervention on diabetic foot. Methods A total of 100 patients with diabetic foot who were hospitalized in our hospital from December 2015 to January 2017 were selected as study subjects. All patients were randomly divided into observation group and control group, with 50 patients in each group. Both groups were given different treatment methods such as control of blood sugar, reduction of blood fat, improvement of blood rheology, expansion of blood vessels, improvement of microcirculation, anti-infective treatment, elimination of predisposing factors, and support treatment. At the same time, the patients were given Novolin R (Novo Rapid) and Novolin N (Changxiulin) intensive treatment or Novolin 30R intensive treatment for reduction of blood sugar;the patients were also given low molecular weight heparin calcium 5000 IU, subcutaneously injected 2 cm away from the abdominal umbilicus, once every 12 hours, with continuous treatment for 15 days. The observation group was also combined with psychological intervention. The therapeutic effects, the VAS score before and after treatment, and the improvement of clinical symptoms were compared between the two groups. Results The total effective rate in the observation group was 94.00% after treatment, which was significantly higher than that in the control group. The difference was statistically significant (P<0.05). The VAS scores in the observation group after treatment were significantly lower than those in the control group, and the difference was statistically significant(P<0.05). The number of cases with pulsation, skin crack and numbness of the dorsal artery after treatment in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion The clinical efficacy of low molecular weight heparin calcium combined with psychological intervention in the treatment of diabetic foot
作者
杨柳
王霞
廖米荣
YANG Liu;WANG Xia;LIAO Mirong(Department of Burn,Taizhou Hospital of Zhejiang Province,Taizhou 317000,China;Department of Gastroenterology,Taizhou Hospital of Zhejiang Province,Taizhou 317000,China)
出处
《中国现代医生》
2019年第4期78-80,84,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2018KY892)
关键词
糖尿病足
低分子肝素钙
心理干预
VAS评分
Diabetic foot
Low molecular weight heparin calcium
Psychological intervention
VAS scores
