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目的探讨集束化护理措施在经皮血管成形术联合支架植入术治疗糖尿病足中的效果。方法选择经皮血管成形术联合支架植入术治疗的80例糖尿病足患者进行研究。根据患者入院时间的先后顺序不同随机分为对照组和观察组,每组40例。对照组给予常规护理。观察组给予集束化护理干预。治疗后,比较2组患者Wagner分级、血糖、踝肱指数、临床症状及疗效。结果观察组Wagner分级显著低于比对照组,差异有统计学意义(P<0.05);观察组患者血糖明显低于对照组,踝肱指数高于对照组,2组比较差异有统计学意义(P<0.05);观察组麻木、疼痛、发绀、皮肤低温患者数量均少于对照组,差异有统计学意义(P<0.05);观察组总有效率为100.00%,对照组总有效率为85.00%,2组比较差异有统计学意义(P<0.05);观察组总不良反应发生率为7.50%,明显低于对照组的25.00%,2组比较差异有统计学意义(P<0.05)。结论经皮血管成形术联合支架植入术治疗糖尿病足中给予集束化护理干预效果良好,值得临床推广。
Objective To investigate the effect of cluster nursing intervention in the treatment of diabetic foot by percutaneous transluminal angioplasty combined with stent implantation. Methods 80 patients with diabetic foot treated with percutaneous transluminal angioplasty and stent implantation were studied. Patients were randomly divided into control group and observation group according to the sequence of admission time, 40 cases in each group. The control group was given routine care. The observation group received intensive nursing intervention. After treatment, Wagner classification, blood glucose, ankle brachial index, clinical symptoms and efficacy were compared between the two groups. Results The Wagner grade in the observation group was significantly lower than that in the control group (P <0.05). The blood glucose in the observation group was significantly lower than that in the control group, and the ankle-brachial index was higher than that in the control group. There was significant difference between the two groups P <0.05). The number of numbness, pain, cyanosis and skin hypothermia in the observation group were all less than those in the control group (P <0.05). The total effective rate was 100.00% in the observation group and 85.00 in the control group %, The difference between the two groups was statistically significant (P <0.05). The incidence of adverse reactions in the observation group was 7.50%, which was significantly lower than that in the control group (25.00%). There was significant difference between the two groups (P <0.05). Conclusion Percutaneous transluminal angioplasty combined with stent implantation in the treatment of diabetic foot cluster nursing care is effective and worthy of clinical promotion.