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正糖尿病足是由于糖尿病患者血糖长期不稳定,导致末梢神经病变、下肢血管硬化、血管壁增厚、弹性下降及细菌感染等,从而引发足部疼痛、皮肤出现深溃疡、肢端发生坏疽等[1]。2012-10—2014-09间,我们对例21糖尿病足患者在给予综合治疗的 相似文献
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糖尿病足患者的临床特征分析及护理对策 总被引:1,自引:0,他引:1
目的结合糖尿病足的临床特征进行分析,探讨糖尿病足的护理对策。方法分析32例糖尿病足的临床特征及采取的治疗与护理措施。结果 30例足部共分离出42株病原菌,其中革兰阳性菌占45.0%,革兰阴性菌占55.0%,并有混合性细菌感染;临床主要特征表现为血糖值异常(87.5%),足部感觉、触觉减退(59.4%),足部皮肤温度下降(56.2%),踝动脉-肱动脉血压比值(ABI)为0.5~0.7(53.1%),足部麻木感(50.0%)。结论糖尿病足的发生与多种因素有关,应采取局部护理、健康教育、环境控制、个人卫生、心理疏导等护理对策,减少或避免致残的发生。 相似文献
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目的结合糖尿病足的临床特征进行分析,探讨糖尿病足的护理对策。方法分析32例糖尿病足的临床特征及采取的治疗与护理措施。结果 30例足部共分离出42株病原菌,其中革兰阳性菌占45.0%,革兰阴性菌占55.0%,并有混合性细菌感染;临床主要特征表现为血糖值异常(87.5%),足部感觉、触觉减退(59.4%),足部皮肤温度下降(56.2%),踝动脉-肱动脉血压比值(ABI)为0.5~0.7(53.1%),足部麻木感(50.0%)。结论糖尿病足的发生与多种因素有关,应采取局部护理、健康教育、环境控制、个人卫生、心理疏导等护理对策,减少或避免致残的发生。 相似文献
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目的总结糖尿病足溃疡患者的护理方法。方法对21例糖尿病足患者配合治疗的同时,积极有针对性实施合理、系统护理措施。结果本组痊愈18例(85.71%),好转2例(9.52%),无效1例(4.76%),总有效率95.24%。21例患者血糖均控制良好。结论在有效控制血糖、感染等基础上,系统全面实施基础、心理综合护理措施、日常生活指导和健康教育,对糖尿病足溃疡患者的恢复和提高生活质量有重要意义。 相似文献
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目的:探讨糖尿病足的防治方法和护理,提高糖尿病足的治疗效果.方法:对30例糖尿病足患者进行有效的护理措施,采用降血糖、全身治疗和局部清创处理.结果:经医护人员的密切配合,精心护理,糖尿病足患者24例痊愈,5例创面缩小,局部干燥,1例截肢.结论:加强糖尿病足知识宣教,控制血糖,足部护理,提高治愈率,降低致残率,取得了良好的效果. 相似文献
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糖尿病足的中西医结合治疗及护理体会 总被引:3,自引:0,他引:3
周燕飞 《中华现代外科学杂志》2006,3(6):566-567
目的探讨常规护理结合中药足浴对糖尿病足的临床疗效。方法将人选的糖尿病足患者110例随机分为治疗组58例、对照组52例,两组均予以常规内科综合治疗,加强全身及局部护理。观察组在此基础上采用中药足浴;对照组则采用温水足浴。观察两组综合临床疗效、局部溃疡愈合情况及不良反应发生情况。结果治疗组疗效明显高于对照组(P〈0.05),且未见明显不良反应发生。结论常规护理结合中药足浴治疗糖尿病足安全、有效,值得临床推广应用。 相似文献
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糖尿病足患者的循证护理实践 总被引:3,自引:2,他引:1
目的描述糖尿病足的循证护理证据。方法以中文检索关键词"糖尿病足、护理",英文检索关键词"diabetes foot,care ormanagement"检索该领域2000~2010发表的相关临床实践指南、系统评价等循证资源。结果共检索到RNAO(Registered Nur-ses Association of Ontario)临床实践指南2篇、JBI(Joanna Briggs Institute)的系统评价1篇、Cochrane的系统评价3篇。循证推荐建议包括:进行糖尿病足危险因素评估,对所有糖尿病患者进行预防足溃疡的健康教育,当患者处于足溃疡和/或截肢(趾)高危时提供适合的护理干预和社会支持。结论目前尚未发现糖尿病足护理的最佳实践信息,主要是由于缺乏高质量的原始研究,迫切需要进行大样本、高质量的关于糖尿病足护理的实验性研究。 相似文献
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Susanne Friis Søndergaard Else Godsk Vestergaard Anne Bendix Andersen Raymond Kolbæk Marie Dahl Annette Høgh 《International wound journal》2023,20(5):1796-1810
Diabetic foot ulcer (DFU) is a common, complex and severe complication of diabetes that is associated with severely decreased health-related quality of life. Treatment of DFUs calls for a multi-sectoral approach, incorporating interdisciplinary care pathways. Telemedicine (TM) may be used as a communication tool between caregivers across healthcare sectors to obligate the need for close follow-up, including early intervention in preventing the recurrence of DFU. The objective of this review was to identify, examine and conceptually map the available literature on patients' experiences and views regarding the use of TM solutions among patients with DFUs. We identified the Population, Concept and Context to pinpoint the focus of this review, word the research question and title as well as facilitate the literature search strategy. The literature examined stems from 13 sources. We imposed no restrictions on the methodological approach of the included studies, neither on the format. During the review process, four main maps emerged: “A whole human not merely a hole in a human,” “Less of a burden on the family, the community and the environment,” “Competences and continuity of care are essential for high-quality care” and “The quality and modality of the technology.” Further investigation from both the patients' and the multi-sectoral caregivers' perspective is needed, focusing on whatever modifications of the TM intervention may fit the DFU care pathway better. 相似文献
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Israel Dudkiewicz Oren Schwarz Michael Heim Amir Herman Itzhak Siev-Ner 《The Foot》2009,19(4):201-204
Considerable disagreement exists whether trans-metatarsal amputations are indicated in persons with diabetes. A previous study reported that statistically the success rate of Syme's amputation in diabetic patients over 65 years of age resulted in a very poor results. The purpose of this study was to investigate the results of trans-metatarsal amputations, in patients with diabetes and to seek markers which could shed light upon the advantages/disadvantages of this procedure.The records of 46 patients covering a 10-year period (1996–2006) were used as a database.Twelve needed higher amputation level and another 10 needed a wound revision. All the patients that maintained the original amputation level walk without a need for a prosthesis and kept their previous abode.TMA in diabetic patients, although at a high risk for an extrasurgical procedure, once successful, the patient will regain his previous lifestyle. 相似文献
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目的探讨臭氧水联合穴位按摩治疗糖尿病足患者的护理效果。方法将40例糖尿病足患者随机分为观察组和对照组各20例;两组均对创面进行间断冲洗引流,对照组采用生理盐水冲洗,观察组采用臭氧水冲洗联合穴位按摩;观察两组创面愈合的效果。结果观察组治愈例数多于对照组;治疗显效时间显著短于对照组(P0.05)。结论臭氧水冲洗联合穴位按摩,能够促进糖尿病足患者创面愈合,改善患者的生活质量。 相似文献
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目的 探讨糖尿病足的治疗方法,提高糖尿病足的诊治水平,降低病死率及致残率.方法 30例糖尿病足患者给予糖尿病饮食,严格控制血糖,全身应用扩血管改善微循环药物及抗生素,局部清创换药手术植皮的综合治疗,并分析其临床疗效,总结治疗方法.结果 30例患者经系统治疗后,痊愈28例(93.3%),好转1例(3.3%),截肢1例(3.3%).结论 糖尿病足病情复杂,结合降糖、改善微循环、抗感染、局部创面清创换药处理(皮肤缺损大者手术植皮)为一体进行综合治疗有较好的疗效. 相似文献
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Palamarchuk VI Siriachenko VH Markov KV Muz' MI Shuliarenko OV Shuliarenko LV 《Klinichna khirurhiia / Ministerstvo okhorony zdorov'ia Ukra?ny, Naukove tovarystvo khirurhiv Ukra?ny》2011,(1):49-52
Character of microflora in patients with infection complications of diabetic foot syndrome was analyzed. The efficacy of modern antibacterial preparations for empirical and specific therapy was studied up. 相似文献
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