虎符铜砭刮痧在社区糖尿病足中的临床疗效分析.pdf

·基层园地·糖尿病新世界2023年7月DOI：10.16658/j.cnki.1672-4062.2023.13.189虎符铜砭刮痧在社区糖尿病足中的临床疗效分析黎晓，乐安琪，邱德星中国科学院大学深圳医院（光明）社康中心，广东深圳518107[摘要]目的社区承接了糖尿病足患者的康复期，本研究探讨虎符刮痧治疗在社区中的临床疗效，应用和推广情况。方法选择2020年1—12月中国科学院大学深圳医院社区健康服务中心在管糖尿病足患者（主要为院部内分泌科下转患者）70例为研究对象，根据随机数表法分为研究组和参照组，每组35例。两组患者基础治疗均相同，参照组创面予清创消毒包扎，视病情加用重组牛碱性成纤维细胞生长因子。研究组在此基础上应用虎符铜砭刮痧。比较两组患者治疗前后多伦多临床评分系统、创面愈合时间、患足感觉异常点、糖尿病足皮温、患足足趾经皮血氧饱和度。结果研究组总有效率为97.14%，高于参照组的82.86%，差异有统计学意义（P<0.05）；研究组患足创面愈合时间、感觉异常点、皮温、经皮血氧饱和度改善程度优于参照组，差异有统计学意义（P<0.05）。结论虎符铜砭刮痧治疗在承接糖尿病足患者的康复期加快了创面的愈合，在社区发挥了重要的作用。[关键词]铜砭刮痧；社区；糖尿病足；创面愈合[中图分类号]R587.1[文献标识码]A[文章编号]1672-4062（2023）07（a）-0189-05AnalysisofClinicalCurativeEffectofHufuCopperBianstoneScrapingonDiabeticFootinCommunityLIXiao,LEAnqi,QIUDexingSocialHealthCenter(Guangming)ShenzhenHospital,UniversityofChineseAcademyofSciences,Shenzhen,Guang⁃dongProvince,518107China[Abstract]ObjectiveThecommunityhasundertakentherehabilitationperiodofdiabeticfootpatients.Thisstudyex⁃ploredtheclinicalefficacy,applicationandpromotionofHufuscrapingtherapyinthecommunity.MethodsFromJanuary2020toDecember2020,70diabeticfootpatients(mainlytransferredfromtheEndocrinologyDepartmentofthehospital)inthecommunityhealthservicecenterofShenzhenHospital,UniversityofChineseAcademyofScienceswereselectedasthestudyobjects.Theyweredividedintostudygroupandreferencegroupaccordingtotherandomnumbertablemethod,with35casesineachgroup.Thebasictreatmentofthetwogroupswasthesame.Thewoundsofthereferencegroupweredebrided,disinfectedandbandaged,andrecombinantbovinebasicfibroblastgrowthfactorwasaddeddependingonthecondition.Onthisbasis,theresearchgroupappliedHufucopperbianstonescrapping.Thetorontoclinicalscoringsystem,woundhealingtime,paresthesiapointsoftheaffectedfoot,skintemperatureofthediabeticfoot,andpercutaneousbloodoxygensaturationofthetoeoftheaffectedfootwerecomparedbetweenthetwogroupsbeforeandaftertreatment.ResultsThetotaleffectiverateoftheresearchgroupwas97.14%,whichwashigherthanthatofthereferencegroup(82.86%),andthedifferencewasstatisticallysignificant(P<0.0