内补黄芪方治疗糖尿病足的临床观察.docVIP

内补黄芪方治疗糖尿病足的临床观察 nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp; 作者：黄庆仪 丁萍 罗玉韵 徐进华nbsp;nbsp; 【摘要】nbsp; 　　目的 探讨内补黄芪方治疗糖尿病足的临床疗效。方法 将100例糖尿病足患者随机分为2组。对照组48例采用常规治疗，治疗组52例在对照组治疗基础上加用内补黄芪方内服及外洗治疗。2组均15日为1个疗程，2个疗程后评定疗效。结果 治疗组总有效率88.5％，对照组总有效率70.8％，2组比较差异有统计学意义（Plt;0.05）。治疗后治疗组全血黏度、血浆黏度、纤维蛋白原、红细胞比积水平较治疗前明显下降（Plt;0.05），与对照组比较差异均有统计学意义（Plt;0.05）。治疗组胆固醇、甘油三酯下降程度与对照组相似, 差异无统计学意义（Pgt;0.05）。结论 内补黄芪方能改善糖尿病足的临床症状，其机制可能与改善血液黏度有关。 【关键词】nbsp; 内补黄芪方；糖尿病足；中药疗法 　　Clinical observation of Huangqi internal supplied-prescription for diabetes footnbsp;nbsp;nbsp;nbsp; 　　【Abstract】nbsp; Objectivenbsp; To observe clinical therapeutic effect of Huangqi internal supplied-prescription for diabetes foot. Methodsnbsp; 100 patients with diabetes foot were randomly divided into two groups. The patients in control group (n=48) were treated by routine treatment. The patients in treatment group (n=52) were treated by oral use and external washing of Huangqi internal supplied-prescription and routine treatment. Their therapeutic effects were compared after two course of treatment, which was 15 days. Resultsnbsp; The total effective rate was 88.5％ in the treatment group and 70.8％ in the control group. There was a significant difference between the two groups (Plt;0.05). The levels on blood viscosity, plasma viscosity, fibrinogen and hematocrit of the treatment group were obviously decreased after treatment (Plt;0.05). There was a significant difference between the two groups (Plt;0.05). The descended levels on cholesterol and triglycerides were similar between two groups with no significant difference (Pgt;0.05). Conclusionnbsp; Huangqi internal supplied-prescription can improve the clinical symptoms of diabetes foot, which may be related to improving blood viscosity. nbsp;nbsp;nbsp; 　　【Key words】nbsp; Huangqi internal supplied-prescription; Diabetes foot; Traditional Chinese medicine therapy 　　糖尿病足（diabetic foot, DF）是由于糖尿病患者血管病变导致肢端缺血和周围神经病变而失去感觉，且并发足部感染，由于此病变多发生在四肢