目的:探讨健康宣教干预社区老年糖尿病伴手足癣患者的效果。方法:选择老年糖尿病并发手足癣患者157例,分成宣教组79例,给予健康宣教及外用自制咪康唑联苯苄唑乳膏,2次/d;对照组78例,单纯外用相同药膏;两组均治疗1个月。于治疗结束及停药2个月后分别进行疗效评价,观察两组的治疗效果。结果:治疗结束时,宣教组总有效率73.41%(59/79),对照组为67.95%(53/78),组间差异无统计学意义(P>0.05)。停药2个月后,宣教组总有效率67.08%(53/79),对照组为48.72%(38/78),组间差异有统计学意义(P<0.05)。结论:健康宣教合并外用药治疗老年糖尿病并发手足癣疗效优于单纯药物治疗,方法简单,适合社区及临床推广。
Objective: To explore the efifcacy of the health education in the intervention of the community elderly diabetic patients with tinea pedis and tinea manus.Methods:One hundred and iffty-seven cases of the elderly diabetic patients complicated with tinea pedis and tinea manus were selected and divided into an educational group with 79 cases who were given with the health education and the topical miconazole bifonazole cream twice a day, and a control group with 78 cases who was only given the same topical cream. Both groups received a month of the treatment. After 2 months of the treatment and withdrawal, the effect was observed in both groups.Results: At the end of the treatment, the total efifciency was 73.41% (59/79) in the educational group, and 67.95% (53/78) in the control group and the difference between two groups had no statistical signiifcance (P〉0.05). After two months of withdrawal, the total efifciency was 67.08% (53/79) in the educational group, and 48.72% (38/78) in the control one, the difference between two groups had the statistical signiifcance (P〈0.05).Conclusion: The health education combined with the external drug in the treatment of the elderly diabetic patients with tinea pedis and tinea manus was more effective than the drug treatment alone, whose method is simple and suitable for the community and clinical application.