CAJ | 학술논문

目的观察糖尿病足综合康复治疗的临床疗效.方法选取52例糖尿病足患者,按随机数字表法分为康复组和对照组,每组各26例,对照组给予健康教育、内科基础治疗和局部处理,康复组患者在此基础上给予有氧运动,自10 min/次开始,逐步延长至30～40 min/次,可穿插必要的间歇,但达到靶心率的累计时间以20～30 min/次为佳；反复进行毕格尔运动1h/次,2次/日；红外线治疗,每次30 min,1次/日；超短波无热量或微热量治疗,每次15～20 min,1次/日；康复治疗每周6d,连续4周,分别于治疗前和治疗后依据Wagner分级下降、创面愈合情况及自觉症状改善状况评估治疗效果,采用《糖尿病患者生存质量特异性量表》评估患者生活质量.结果康复组治疗后的总有效率88.46％,对照组的总有效率73.08％,2组疗效有统计学意义(P＜0.05)；2组患者生活质量评估显示治疗后社会关系、生理功能、心理或精神及治疗影响各维度积分与治疗前比较,差异有统计学意义(P＜0.05)；2组间治疗后比较,康复组生活质量4个维度均较对照组好转,差异有统计学意义(P＜0.01).结论综合康复治疗有利于改善糖尿病足的预后,可提高糖尿病患者的生活质量.
목적 관찰당뇨병족종합강복치료적림상료효.방법 선취52례당뇨병족환자,안수궤수자표법분위강복조화대조조,매조각26례,대조조급여건강교육、내과기출치료화국부처리,강복조환자재차기출상급여유양운동,자10 min/차개시,축보연장지30～40 min/차,가천삽필요적간헐,단체도파심솔적루계시간이20～30 min/차위가；반복진행필격이운동1h/차,2차/일；홍외선치료,매차30 min,1차/일；초단파무열량혹미열량치료,매차15～20 min,1차/일；강복치료매주6d,련속4주,분별우치료전화치료후의거Wagner분급하강、창면유합정황급자각증상개선상황평고치료효과,채용《당뇨병환자생존질량특이성량표》평고환자생활질량.결과 강복조치료후적총유효솔88.46％,대조조적총유효솔73.08％,2조료효유통계학의의(P＜0.05)；2조환자생활질량평고현시치료후사회관계、생리공능、심리혹정신급치료영향각유도적분여치료전비교,차이유통계학의의(P＜0.05)；2조간치료후비교,강복조생활질량4개유도균교대조조호전,차이유통계학의의(P＜0.01).결론 종합강복치료유리우개선당뇨병족적예후,가제고당뇨병환자적생활질량.
Objective To investigate the clinical effects of comprehensive rehabilitation treatment for patients with a diabetic foot. Methods Fifty-two patients with one diabetic foot were randomly divided into a rehabilitation group ( n =26 ) and a control group ( n =26).The patients in the control group received conventional treatment including health education,basic medical therapy and focal treatment of the foot.In addition to the conventional treatment,the rehabilitation group was treated with aerobic exercise,Beecher's exercise regimen,infrared therapy and ultrashortwave therapy 6 days a week for 4 weeks.The therapeutic effect and quality of life were evaluated before and after treatment. Results The effectiveness rate of the rehabilitation group was significantly higher than that of the control group ( 88.46％ vs 73.08％ ) after treatment.The quality of life scores in both groups were significantly better than those before treatment,including on the social relationship dimension,the physiological function dimension,the mental/psychology dimension and the therapy influence section.Average quality of life scores in the rehabilitation group had improved significantly more than in the control group. Conclusion Comprehensive rehabilitation is beneficial to prevent the progress of diabetic foot and to improve the quality of life of patients with a diabetic foot.