马凤丽

[摘要] 目的 分析探究严重糖尿病足部溃烂创面护理要点及护理效果。方法 该次研究采取随机盲选法，将2018年3月—2019年6月该院收治的72例严重糖尿病足部溃烂患者划分为两组，各组平均36例;其中，对照组实行常规护理，观察组实行足部溃烂创面护理，对比两组患者的临床疗效、临床指标及护理满意度。结果 ①观察组治疗有效率的91.67%，明显高于对照组的69.44%，两组数据差异有统计学意义（P<0.05）。②护理后，观察组空腹血糖、糖化血红蛋白水平均明显低于对照组，观察组足部溃烂创面面积明显小于对照组，两组数据差异有统计学意义（P<0.05）。③观察组护理满意度的94.44%，明显高于对照组的72.22%，两组数据差异有统计学意义（χ2=10.285，P<0.05）。结论 严重糖尿病足部溃烂患者实行创面护理的效果显著，能明显提高治疗效果，控制血糖水平，改善临床症状，大大降低不良事件发生率，取得令人满意的护理效果。

[关键词] 严重糖尿病足部溃烂;创面护理;护理效果

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）06（a）-0142-03

[Abstract] Objective To analyze and explore the nursing points and nursing effects of severe diabetic foot ulcer wounds. Methods This study adopted a random blind selection method， and divided 72 cases of severe diabetic foot ulcers admitted in the hospital from March 2018 to June 2019 into 2 groups， with an average of 36 cases in each group; In the observation group， foot ulcer wound care was implemented， and the clinical efficacy， clinical indicators and nursing satisfaction of the two groups were compared. Results 1.The treatment efficiency of the observation group was 91.67%， significantly higher than that of the control group of 69.44%. The data of the two groups had statistical significance（P<0.05）. 2.After nursing， the fasting blood glucose and glycated hemoglobin levels in the observation group were significantly lower than those in the control group， and the area of foot ulceration wounds in the observation group was significantly smaller than that in the control group（P<0.05）. 3.94.44% of the nursing satisfaction of the observation group was significantly higher than 72.22% of the control group. The data of the two groups had statistical significance （χ2=10.285， P<0.05）. Conclusion The effect of wound care for patients with severe diabetic foot ulcers is significant， which can significantly improve the treatment effect， control blood gluose levels， improve clinical symptoms， greatly reduce the incidence of adverse events， and obtain satisfactory nursing effects.

[Key words] Severe diabetic foot ulcer; Wound care; Nursing effect

足部潰烂，是糖尿病严重发病时的常见并发症，其临床症状包括趾端坏死、坏疽、感染及足部溃疡等，表明患者步入糖尿病晚期阶段，其致死、致残及再次复发风险相对较高，不止直接影响患者生活质量及健康水平，更存在造成患者病死的可能性[1-2]。因此，从糖尿病患者的病情缓解、生活质量改善角度考虑，针对足部溃烂创面加强有效护理干预非常关键，通过有效护理干预方法的实施，使患者的足部溃烂创面得到有效康复，进而改善患者的生活质量。鉴于此，该课题将该院在2018年3月—2019年6月收治的72例严重糖尿病足部溃烂创面患者作为研究的对象，重点探究护理要点及护理效果，现报道如下。

1  资料与方法

1.1  一般资料

该次纳入研究的72例患者，所有患者均符合严重糖尿病足部溃烂的诊断标准，以随机盲选法为参照划分为两组，即：对照组36例患者中男女比例为21：15;年龄58～79岁，平均年龄为（63.27±4.79）岁;糖尿病病程为1.2～4.8年，平均病程为（3.74±0.12）年。……