1.北京中医药大学东直门医院 肾病内分泌科二区, 北京, 100700
2.北京中医药大学东直门医院 耳鼻咽喉头颈外科, 北京, 100700
张莹, E-mail: 13811873022@163.com
收稿:2026-06-10,
修回:2026-07-14,
录用:2026-07-15,
网络首发:2026-09-20,
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郭鹏, 吴保静, 杨清伊, 等. 5A护理模式联合香雷糖足膏应用于1例糖尿病合并足底皮肤损伤患者的护理[DB/OL].中西医结合临床案例库, 2026.
GUO Peng, WU Baojing, YANG Qingyi, et al. Application of the 5A Nursing Model Combined with Xianglei Tangzu Ointment in a Diabetic Patient with Plantar Skin Injury: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
郭鹏, 吴保静, 杨清伊, 等. 5A护理模式联合香雷糖足膏应用于1例糖尿病合并足底皮肤损伤患者的护理[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202606100002.
GUO Peng, WU Baojing, YANG Qingyi, et al. Application of the 5A Nursing Model Combined with Xianglei Tangzu Ointment in a Diabetic Patient with Plantar Skin Injury: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202606100002.
本文总结1例2型糖尿病合并足底破溃患者的个体化护理经验。患者左足底继发大面积水疱破溃,创面培养检出多重耐药路登葡萄球菌,以5A护理模式为核心,联合创面专科处置、中医特色护理及康复干预,结合4R危机管理落实风险管控。经43 d干预,患者创面愈合,血糖、足部感觉及心理状态改善,无不良并发症,随访足部未见新发损伤,预后良好。
This article summarizes the individualized nursing experience in the care of a patient with type 2 diabetes mellitus complicated by plantar ulceration. The patient presented with a large ruptured bulla on the left plantar region, and wound culture identified multidrug-resistant Staphylococcus lugdunensis. Centering on the 5A nursing model, an integrated intervention was implemented that combined specialized wound management, Traditional Chinese Medicine (TCM)-characteristic nursing care, and rehabilitation training, with risk prevention and control ensured through the 4R crisis management framework. Following 43 days of intervention, the wound achieved complete healing, accompanied by improvements in glycemic control, foot sensation, and psychological status. No adverse complications occurred, and follow-up revealed no new-onset foot injury, indicating a favorable prognosis.
章静芬 , 张征宇 . 穴位按摩联合超声药物导入治疗糖尿病周围神经病变的效果评估 [J]. 中国现代医生 , 2021 , 59 ( 4 ): 131 - 134 .
Zhang J F , Zhang Z Y . Efficacy evaluation of acupoint massage combined with ultrasonic drug introduction on diabetic peripheral neuropathy [J]. China Mod Doctor , 2021 , 59 ( 4 ): 131 - 134 . (in Chinese)
吴睿麒 , 梁晓龙 . 超声介导药物递送研究进展 [J]. 广西师范大学学报(自然科学版) , 2022 , 40 ( 5 ): 271 - 285 .
Wu R Q , Liang X L . Research advances in ultrasound mediated drug delivery [J]. J Guangxi Norm Univ Nat Sci Ed , 2022 , 40 ( 5 ): 271 - 285 . (in Chinese)
刘慧 , 苏语涵 , 田晨羲 , 等 . 超声导入促渗机制及其应用的研究进展 [J]. 北京医学 , 2024 , 46 ( 7 ): 609 - 612 .
Liu H , Su Y H , Tian C X , et al . Research progress on mechanism and application of ultrasonic introduction to promote infiltration [J]. Beijing Med J , 2024 , 46 ( 7 ): 609 - 612 . (in Chinese)
赵英博 , 王鹤 , 彭娜 , 等 . 脐带间充质干细胞治疗糖尿病皮肤损伤的研究进展 [J]. 吉林医药学院学报 , 2022 , 43 ( 4 ): 290 - 293 .
Zhao Y B , Wang H , Peng N , et al . Research progress of umbilical cord mesenchymal stem cells in the treatment of diabetes skin injury [J]. J Jilin Med Univ , 2022 , 43 ( 4 ): 290 - 293 . (in Chinese)
王畇翔 , 李斌 , 牟晓娟 , 等 . 糖尿病伤口愈合困难的血管病变机制及治疗药物研究进展 [J]. 医药导报 , 2024 , 43 ( 4 ): 577 - 581 .
Wang Y X , Li B , Mou X J , et al . Angiopathic mechanisms on diabetic delayed healing wounds: impact and advances in therapeutic agents [J]. Her Med , 2024 , 43 ( 4 ): 577 - 581 . (in Chinese)
张露露 , 沈庆宝 , 苏雪清 . 基于5A护理模式下抗阻锻炼在2型糖尿病性骨质疏松患者中的应用效果 [J]. 糖尿病新世界 , 2026 , 29 ( 6 ): 169 - 171, 185 .
Zhang L L , Shen Q B , Su X Q . Application effect of resistance exercise in patients with type 2 diabetic osteoporosis under the 5A nursing model [J]. Diabetes New World , 2026 , 29 ( 6 ): 169 - 171, 185 . (in Chinese)
李天博 , 罗家音 , 于泽洋 , 等 . 香雷糖足膏联合负压封闭引流对糖尿病足溃疡愈合的影响 [J]. 中国美容医学 , 2026 , 35 ( 5 ): 26 - 30 .
Li T B , Luo J Y , Yu Z Y , et al . The effect of fespixon combination with vacuum sealing drainage on wound healing outcomes in diabetic foot ulcers [J]. Chin J Aesthetic Med , 2026 , 35 ( 5 ): 26 - 30 . (in Chinese)
贾海丽 , 郭娇 , 简少霞 , 等 . 伤口造口干预对慢性难愈创面治疗效果、炎症因子影响 [J]. 中华灾害救援医学 , 2024 , 11 ( 5 ): 509 - 512 .
Jia H L , Guo J , Jian S X , et al . Research on the application of wound stoma intervention group in theTreatment and control of chronic refractory wounds [J]. Chin J Disaster Med , 2024 , 11 ( 5 ): 509 - 512 . (in Chinese)
刘梅 , 杨星 , 齐磊 . 整合性安全照护联合老年衰弱评估量表对股骨骨折术后老年患者谵妄及负性情绪的干预效果研究 [J]. 中外医学研究 , 2026 , 24 ( 9 ): 48 - 51 .
Liu M , Yang X , Qi L . Study on the intervention effect of integrated safety care combined with elderly frailty assessment scale on delirium and negative emotions in elderly patients after femoral fracture surgery [J]. Chin Foreign Med Res , 2026 , 24 ( 9 ): 48 - 51 . (in Chinese)
许晓莲 , 欧阳海燕 , 李坤 . 2型糖尿病住院患者用药依从性及自我行为管理现状及临床药师的作用影响 [J]. 贵州医药 , 2021 , 45 ( 7 ): 1106 - 1107 .
Xu X L , Ouyang H Y , Li K . Current situation of medication compliance and self-behavior management of inpatients with type 2 diabetes mellitus and the influence of clinical pharmacists [J]. Guizhou Med J , 2021 , 45 ( 7 ): 1106 - 1107 . (in Chinese)
徐树岑 , 谷雯雯 , 韩志强 . 负压吸引治疗结合生理盐水冲洗在皮肤感染创面修复中的应用效果 [J]. 中外医学研究 , 2025 , 23 ( 25 ): 48 - 51 .
Xu S C , Gu W W , Han Z Q . Effect of negative pressure suction therapy combined with normal saline irrigation in skin infection wound repair [J]. Chin Foreign Med Res , 2025 , 23 ( 25 ): 48 - 51 . (in Chinese)
中国老年型糖尿病防治临床指南编写组 , 中国老年医学学会老年内分泌代谢分会 , 中国老年保健医学研究会老年内分泌与代谢分会 , 等 . 中国老年2型糖尿病防治临床指南(2026年版) [J]. 中华内科杂志 , 2026 , 65 ( 3 ): 206 - 255 .
The Compilation Group of Clinical Guidelines for the Prevention and Treatment of Elderly-Type Diabetes in China , the Endocrine and Metabolic Branch of the Chinese Geriatrics Society , and the Endocrine and Metabolic Branch of the Chinese Geriatric Health Medicine Research Association , et al . Clinical guidelines for the prevention and treatment of type 2 diabetes mellitus in the elderly in China(2026 edition) [J]. Chin J Intern Med , 2026 , 65 ( 3 ): 206 - 255 . (in Chinese)
国家老年医学中心 , 中华医学会糖尿病学分会 , 中国体育科学学会 , 等 . 中国2型糖尿病运动治疗指南(2024版) [J]. 中华糖尿病杂志 , 2024 , 16 ( 6 ): 616 - 647 .
National Geriatric Medical Center , Chinese Medical Association Diabetes Society , Chinese Society of Sports Science , et al . Guideline for exercise therapy of type 2 diabetes mellitus in China(2024 edition) [J]. Chin J Diabetes Mellit , 2024 , 16 ( 6 ): 616 - 647 . (in Chinese)
袁铮 , 刘青 . 中医护理技术在缓解糖尿病性周围神经病理性疼痛中的效果 [J]. 糖尿病新世界 , 2026 , 29 ( 1 ): 188 - 190, 194 .
Yuan Z , Liu Q . Efficacy of traditional Chinese medicine nursing techniques in alleviating diabetic peripheral neuropathic pain [J]. Diabetes New World , 2026 , 29 ( 1 ): 188 - 190, 194 . (in Chinese)
赖根兰 , 李秋慧 . 失效模式与效应分析联合4 R危机管理理论在新生儿医源性皮肤损伤中的应用效果观察 [J]. 中国伤残医学 , 2025 , 33 ( 3 ): 107 - 111 .
Lai G L , Li Q H . Observation on the effect of failure mode and effects analysis combined with 4R crisis management theory in neonatal iatrogenic skin injury [J]. Chin J Trauma Disabil Med , 2025 , 33 ( 3 ): 107 - 111 . (in Chinese)
武亚霄 , 成金玲 , 康艳霞 , 等 . 中医五音疗法对糖尿病患者生活质量的影响研究 [J]. 中外医学研究杂志 , 2024 ( 9 ).
Wu Y X , Cheng J L , Kang Y X , et al . Research on the Impact of Traditional Chinese Medicine's Five-tone Therapy on the Quality of Life of Diabetic Patients [J]. Chinese and Foreign Medical Research Journal , 2024 ( 9 ). (in Chinese)
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