[1]刘鑫,江锦芳,林桦,等.下肢肌肉训练计划在下肢静脉溃疡患者创面治疗中的应用[J].军事护理,2021,38(02):14-17.[doi:10.3969/j.issn.1008-9993.2021.02.004]
　LIU Xin,JIANG Jinfang,LIN Hua,et al.Application of Lower Extremity Muscle Training Program in Wound Treatment of Patients with Venous Ulcer of Lower Extremity[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(02):14-17.[doi:10.3969/j.issn.1008-9993.2021.02.004]
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下肢肌肉训练计划在下肢静脉溃疡患者创面治疗中的应用
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年02期
页码:
14-17
栏目:
论著
出版日期:
2021-02-15

文章信息/Info

Title:
Application of Lower Extremity Muscle Training Program in Wound Treatment of Patients with Venous Ulcer of Lower Extremity
文章编号:
1008-9993(2021)02-0014-04
作者:
刘鑫1; 江锦芳2; 林桦3; 柳书仪4; 廖钊誉1
(1.南宁市第一人民医院 创面修复中心,广西 南宁 530022; 2.广西医科大学附属肿瘤医院 专家督导组,广西 南宁 530022; 3.南宁市第一人民医院 护理部; 4.南宁市第一人民医院 康复医学科)
Author(s):
LIU Xin1; JIANG Jinfang2; LIN Hua3; LIU Shuyi4; LIAO Zhaoyu1
(1.Wound Repair Center,Nanning First People's Hospital,Nanning 530022,Guangxi Province,China; 2.Expert Supervision Group,Guangxi Medical University Tumor Hospital,Nanning 530022,Guangxi Province,China; 3.Nursing Department,Nanning First People's Hospital; 4.Rehabilitation Medicine Department,Nanning First People's Hospital)
关键词:
下肢肌肉训练;  下肢静脉溃疡;  细菌培养计数;  复发率
Keywords:
muscle training of lower limbs;  venous ulcer of lower limbs;  bacterial culture count;  recurrence rate
分类号:
R473
DOI:
10.3969/j.issn.1008-9993.2021.02.004
文献标志码:
A
摘要:
目的 评价下肢肌肉训练计划在下肢静脉溃疡患者创面治疗的效果。方法 2018年7月至2020年6月,便利抽样法选择在某院治疗的下肢静脉溃疡患者72例为研究对象,按随机数字表法将其分为对照组和观察组,每组36例。对照组接受常规护理、创面治疗以及压力治疗; 观察组在对照组的基础上实施下肢肌肉训练。两组随访治疗6个月,比较两组患者压疮愈合计分量表(pressure ulcer scale for healing,PUSH)计分、踝-后足评分系统(ankle hindfoot scale,AOFAS)评分、细菌培养计数、伤口愈合率及创面复发率。结果 两组患者脱落率分别为13.9%和11.1%,差异无统计学意义(P>0.05)。两组患者PUSH计分、AOFAS评分和细菌培养计数在组间效应、时间效应和交互作用上均存在统计学意义(均P<0.05)。两组患者在1个月和6个月时创面愈合率,差异无统计学意义(P>0.05); 3个月时创面愈合率,差异有统计学意义(P<0.05); 随访期内对照组患者创面复发6例,观察组复发1例,差异有统计学意义(P<0.05)。结论 下肢肌肉训练计划可加速下肢静脉溃疡创面愈合且降低复发率,是行之有效的辅助治疗手段。
Abstract:
Objective To evaluate the effect of lower extremity muscle training program in the wound treatment in patients with venous ulcers of lower extremities.Methods From July 2018 to June 2020,72 patients with venous leg ulcers were selected by the convenience sampling method and divided into two groups by the random number table method,each group with 36 patients.The control group received regular nursing treatment,wound treatment and pressure treatments.The intervention group received additional lower limb muscle training program apart from the regular treatments. Both groups were followed up for 6 months.Pressure ulcer scale for healing(PUSH)score,ankle hindfoot scale(AOFAS)score,bacterial culture count,wound healing rate and wound recurrence rate were compared between the two groups.Results The drop-off rates of the two groups were 13.9% and 11.1%,respectively,and the difference was not statistically significant(P>0.05).The PUSH scores,AOFAS scores and bacterial culture counts in the two groups were statistically significant in the inter-group effect,time effect and interaction(all P<0.05).There was no statistically significant difference in wound healing rate between the two groups of patients at 1 and 6 months(P>0.05); the difference in wound healing rate at March was statistically significant(P<0.05); 6 patients in the control group and 1 in the intervention group had wound recurrence during the follow-up period,and the difference was statistically significant(P<0.05).Conclusions The lower extremity muscle training program can accelerate the wound healing of lower extremity venous ulcer and reduce the recurrence rate,which is an effective auxiliary treatment.

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(本文编辑:郁晓路)

备注/Memo

备注/Memo:
【 收稿日期 】 2020-10-08 【 修回日期 】 2021-01-05
【 基金项目 】 南宁市科学研究与技术开发计划项目(ZC20203013)
【 作者简介 】 刘鑫,硕士,护师,从事伤口、造口护理工作
【 通讯作者 】 江锦芳,电话:13597009389
更新日期/Last Update: 2021-02-15