下肢肌肉训练计划在下肢静脉溃疡患者创面治疗中的应用

目的评价下肢肌肉训练计划在下肢静脉溃疡患者创面治疗的效果。方法2018年7月至2020年6月,便利抽样法选择在某院治疗的下肢静脉溃疡患者72例为研究对象.按随机数字表法将其分为对照组和观察组,每组36例。对照组接受常规护理、创面治疗以及压力治疗;观察组在对照组的基础上实施下肢肌肉训练。两组随访治疗6个月,比较两组患者压疮愈合计分量表(pressure ulcer scale for healing,PUSH)计分、踩-后足评分系统(ankle hindfoot scale,AOFAS)评分、细菌培养计数、伤口愈合率及创面复发率。结果两组患者脱落率分别为13.9%和11.1%,差异无统计学意义(P>0.05)。两组患者PUSH计分、AOFA S评分和细菌培养计数在组间效应、时间效应和交互作用上均存在统计学意义(均P<0.05)。两组患者在1个月和6个月时创面愈合率,差异无统计学意义(P>0.05);3个月时创面愈合率,差异有统计学意义(P<0.05);随访期内对照组患者创面复发6例,观察组复发1例,差异有统计学意义(P<0.05)。结论下肢肌肉训练计划可加速下肢静脉溃疡创面愈合且降低复发率,是行之有效的辅助治疗手段。

Application of Lower Extremity Muscle Training Program in Wound Treatment of Patients with Venous Ulcer of Lower Extremity

Objective To evaluate the fft of lower extremity muscle training program in the wound treatment in patients with venous ulers of lower extremities.Methods From July 2018 to June 2020,72 patients with venous leg ulcers were selected by the convenience sampling method and divided into two groups by the random number table method,each group with 36 patients,The control group received rgular nursing tratment,wound treatment and pressure tratments.The intervention group received additional lower limb muscle training program apart from the regular treatments.Both groups were followed up for 6 months.Pressure uloer scale for healing(PUSH)score,ankle hindfoot scale(AOFAS)score,bacterial culture count,wound healing rate and wound recurence rate were compared between the two groups.Results The drop-off rates of the two groups were 13.9%and 11.1%rspectively,and the diference was not statistically significant(P>0.05).The PUSH scores,AOFAS scores and bacterial culture counts in the two groups were staistically significant in the inter group efect,time efect and interaction(all P<0.05).There was no statistically significant difference in wound healing rate between the two groups of patients at 1 and 6 months(P>0.05);the dffrence in wound healing rate at March was satistically significant(P<0.05);6 patients in the control group and 1 in the intervention group had wound recurrence during the fllw up period,and the diference was stistically significant(P<0.05).Conclusions The lower extremity muscle training program can acelerate the wound heling of lower extremity venous ulcer and reduce the recurrence rate,which is an ffctive auxiliary treatment.