自体干细胞移植治疗糖尿病足的护理

介绍了自体干细胞移植治疗5例糖尿病足患者的术前准备和心理护理、术后并发症和不良反应的观察与护理。于治疗后1￣8周,患者肢体疼痛、冷感觉有显著好转,溃疡面愈合,未出现移植相关并发症及不良反应。术前皮下注射粒细胞集落刺激因子动员骨髓时应严密观察病情变化,并予及时正确处理;术后穿刺肢体制动8 h并沙袋加压6 h,严密观察足背动脉搏动及末梢血液循环情况,指导术后活动并预防感染,密切观察患者的病情变化并做好并发症的护理,对患者进行有计划、连续性的健康教育,是干细胞移植治疗糖尿病足成功的重要保证。

Nursing of Diabetic Foot Treated with Autologous Stem Cell Transplantation

The paper introduced the peri-operative preparation and mental care of 5 cases with diabetic foot were treated with autologus stem cell transplantation and the observation and nursing of complications and adverse reaction.After 1~8 weeks of treatment,patients began to feel less painful and cold,the ulceration was recovered,and no complications were found.The changes of disease during subcutaneous injection of the granulocyte colony-stimulating factor were observed carefully and given proper treatment.Postoperatively,patients were asked to not move at 8 h and pressed by sandbag at 6 h and the pulsating of foot artery as well as blood circulation were observed closely.Patients were given guidance of movement so as to prevent the infection,the disease of patients were observed closely,prevention of complication was made and patients were given continuing and planned health education.All the above methods guarantee the success of treating diabetic foot by Autologous stem cell transplantation.