低分子肝素钠股动脉注射治疗糖尿病足0级病变的研究及护理

目的]观察低分子肝素钠股动脉注射配合有效的护理干预对糖尿病足0级病变的影响。方法]将60例糖尿病足0级病变病人随机分为治疗组和对照组,对照组实施常规糖尿病治疗、活血化淤治疗与护理;治疗组在常规治疗与护理基础上给予低分子肝素钠股动脉注射。观察治疗后临床症状、血液流变学、踝肱动脉压力比值(ABI)以及血流动力学改善情况。结果]治疗后病人临床症状、血液流变学、ABI以及血流动力学改善明显,治疗前后比较,差异有统计学意义(P<0.05);治疗组改善优于对照组(P<0.05)。结论]低分子肝素钠股动脉注射配合科学的护理教育和指导,对糖尿病足0级病变的改善疗效显著、安全。

Study and nursing care of patients with diabetes foot of 0- grade pathological changes treated by low molecular heparin injection via femoral artery

Objective: To observe the effect of low molecular sodium heparin combined with effective nursing intervention for patients with diabetic foot in 0-grade stage. Method: A total of 60 diabetic foot patients were divided into test and control group randomly. Patients of control group were given routine therapy, promoting microcirculation and removing blood stasis and nursing care. While patients of test group were given low molecular sodium heparin injection at femoral artery besides the routine treatment. Then all the patients were observed on the changes of clinical symptoms, hemorrheology, blood pressure ratio of arteria malleolaris to brachial artery (ABI), and hemodynamic improvement of them. Result: Compared to that of before treatment, there was a remarkable improvement on clinical symptoms, hemorrheology, ABI and hemodynamic in patients after treatment. There was significant difference between test group before and after treatment (P<0.05). The improvement in test group patients was superior to that of control (P<0.05). Conclusion: Low molecular sodium heparin injection via femoral artery combined with scientific nursing education and guidance could improve the therapeutic effect of diabetic foot patients of 0-grade stage significantly and safely.