糖尿病双下肢血管病变介入治疗的护理循证.pdf.pdf

文档介绍：,刘萍(;)【摘要】目的:讨论糖尿病双下肢血管病变介入治疗的护理循证。方法:将36例糖尿病双下肢血管病变的患者随机分为两组:保守组和治疗组。保守组l8例,除控制血糖、抗感染、清疮、换药外,应用东菱克栓酶静脉滴注一疗程后,经多普勒超声观察双下肢血管的变化;治疗组18例,先给予控制血糖、抗感染、有关糖尿病护理等治疗后,分别行病变血管球囊扩张术介入治疗,术后6个月复查血管造影。结果:治疗组患者治疗后当即皮温升高,血液供应明显改善,足背动脉搏动增强。通过对糖尿病患者的护理、控制血糖、局部换药等治疗措施,足部溃疡愈合较快,近期疗效显著。结论:糖尿病双下肢血管病变血管内介入治疗创伤小,安全有效,临床症状改善明显,可重复性强。通过对患者术前准备及护理、术中配合、术后护理及观察,可以缩短住院天数,提高手术成功率以及患者的生活质量,并降低患者的致残率。【关键词】糖尿病;双下肢血管病变;介入治疗;护理中图分类号:R5871;R815文献标识码:A文章编号:11306—9011【2008)10—1179—04Theevidence-biningwitIIvasculopathyindoublelowerextremitiesYANJing,,ProvincialHospital,#a~atedtOShandongUiversit;Jinan250021,',.~nan250002,【Abstract】Objectlve:Todiscusstheevidence-:biningwithvasc~opathyindoublelowerextremitieswererandomlydividedintotwogroup:,whichincluded18cases,exceptforcon-trollingthebloodsugar,anti—infection,cleaningsores,changingdressings,andintravenousdrippingDF-521,oneco1胤oftreatmentlater,wasobservedthechangesinbloodvesselsofdoublelowerextremitiesusingDopplerultrasound;Treatmentgroup,whichincluded18eases,werefimdygivencontrollingthebloodsugar,anti—infection,diabeticeducationandnursing,ect,andthentreatedwithin-uluspropriusdilatati