中药内服并浸泡治疗糖尿病足的临床对照观察.docVIP

中药内服并浸泡治疗糖尿病足的临床对照观察 更新日期：2009-03-09 点击： 作者：刘毅斌　Clinical Control Observation on Treatment of Gangrenous Foot Caused by Diabetes Through In-take and Immersion of Chinese Herbal Medicine1　临床资料　　40例均为Ⅱ型糖尿病住院患者，诊断标准符合《糖尿病足检查方法及诊断标准》〔1〕，病变程度按照《糖尿病性肢端坏疽的分级》标准〔2〕，随机分为2组。 　　治疗组20例，男性8例，女性12例；年龄43～78岁，平均63.6岁；糖尿病病程3～17年，下肢感染5个月～3年，入院时平均空腹血糖13.08±5.72mmol/L.病变程度属Ⅰ级2例，Ⅱ级9例，Ⅲ级5例，Ⅳ级3例，Ⅴ级1例。湿性坏疽18例，混合性坏疽2例。中医分为热毒型3例，湿热型8例，阴虚型6例，脾虚型1例，气血两虚型2例。 　　对照组20例，男性6例，女性14例；年龄39～75岁，平均61.3岁；糖尿病病程5～20年，下肢感染3个月～5年，入院时平均空腹血糖14.37±7.51mmol/L.病变程度属Ⅰ级1例，Ⅱ级10例，Ⅲ级4例，Ⅳ级3例，Ⅴ级2例。湿性坏疽16例，混合性坏疽4例。中医分为热毒型4例，湿热型9例，阴虚型4例，脾虚型2例，气血两虚型1例。 　　两组性别、年龄、病情比较，经统计学处理无显著性差异(P＞0.05)。2　治疗及观察方法3　疗效观察 　　摘要　目的：探讨中药内服并浸泡对糖尿病足的治疗作用。方法：将40例糖尿病足患者随机分为2组，在基础治疗相同的情况下，治疗组20例采用中药内服并浸泡治疗，对照组20例采用山莨菪碱治疗。两组病人均连续用药2个月。结果：治疗组治愈11例，好转6例，无效3例，总有效率85.0%；对照组治愈6例，好转5例，无效9例，总有效率55.0%.两组总有效率比较，治疗组疗效明显优于对照组(P＜0.05)。在改善患者的血脂、全血比粘度方面，治疗组亦优于对照组(均P＜0.05)。结论：中药内服并浸泡对糖尿病足的治疗作用确切，并有改善患者的血脂、全血比粘度的功能。 　　关键词　糖尿病足；中药内治；中药浸泡 Liu Yibin Liuzhou Peoples Hospital #8 Guangchang Rd.Liuzhou Guangxi 545001 Abstract: Objective: To disouss the author discussed the curative effect of in-take and immersion of Chinese herbal medicine on gangrenous foot due to diabetes. Methods: 40 cases with gangrenous foot were randomly divided into two groups. Under the same basic treatment, the treatment group with 20 cases was treated with both in-take and immersion of Chinese herbal medicine,while the control group with the rest 20 cases was treated with anisodamine. The methods had been applied to the two groups differently for two months. Results: In the treatment group, 11 cases were cured, 6 cases showed improved and 3 cases ineffective with the total effective rate of 85.0%. For the control group, 6 cases were cured, 5 cases showed improved and 9 cases ineffective, the total effective rate being 55.0%. The comparison proved the curative effect in the treatment group was better than the control group(P＜0.05).In addition, the treatment group gained better results in impro