加味补阳还五汤治疗慢性下肢溃疡疗效观察.docVIP

加味补阳还五汤治疗慢性下肢溃疡疗效观察 　　【摘要】目的 探讨加味补阳还五汤治疗慢性下肢溃疡的疗效。方法 选择2014年1月～2016年1月在我院治疗的慢性下肢溃疡患者94例，将患者随机分为两组，各47例，对照组给予常规清创换药治疗，观察组在对照组的基础上给予加味补阳还五汤治疗。评估比较两组患者的疗效。结果 治疗后，观察组总有效率为95.74%；对照组总有效率为85.11%，观察组效果明显优于对照组，差异有统计学意义（P0.05）；治疗过程中及治疗后未见严重不良反应，且患者的各项功能指标检查结果正常。结论 加味补阳还五汤治疗慢性下肢溃疡疗效显著，值得临床推广应用。 　　【关键词】加味补阳还五汤；慢性；下肢溃疡；疗效 　　【中图分类号】R259 【文献标识码】B 【文章编号】ISSN.2095-6681.2016.17..02 　　Clinical observation of Buyang Huanwu decoction in the treatment of chronic lower limb ulcer 　　XU Yi-chun 　　（Kaifeng in henan province hospital，，Henan Kaifeng 475000，China） 　　【Abstract】Objective To investigate the efficacy of Jiawei Buyang Huan Five Decoction in the treatment of chronic ulcer of lower limbs.Methods In January 2014 to 2016 January in 94 cases of our hospital treatment of chronic ulcer of lower limb in patients， patients were randomly divided into two groups， 47 cases， control group was given routine debridement and dressing change in the treatment of observed group on the basis of the control group given Jiawei Buyang also five soup treatment. Evaluation of the efficacy of the two groups of patients.Results After treatment， the observation group， the total effective rate of 95.74%； the total effective rate of control group was 85.11%， observation group was obviously better than that of control group， the difference is statistically significant （P0.05）； in the course of treatment and after treatment there were no serious adverse reactions， and patients in the function test results.Conclusion Flavored Yang also five soup is effective in treating chronic ulcer of lower limb， it is worthy of clinical application. 　　【Key words 】Buyang Huanwu decoction； Chronic；Lower limb ulcer； Effect 　　慢性下肢溃疡是一种常见的外科疾病，病程长，以溃后经久难敛或易复发为特点，给患者生活和工作都带来了极大不便。目前，对于本病的治疗尚无特效疗法[1]。补阳还五汤出自清代王清任《医林改错》，该方以黄芪为君药，重用以大补元气，使气旺血行，祛瘀通络[2]。本文回顾我院采用加味补阳还五汤治疗慢性下肢溃疡患者的情况，现分析如下。 　　1 资料与方法 　　1.1 一般资料 　　选择2014年1月～2016年1月在我院治疗的慢性下肢溃疡患者94例作为研究对象，男79例，女15例。年龄27～82岁，平均年龄69.5岁。病程10天～7年。发病部位：左侧51例，右侧36例，双侧7例。溃疡范围：1.2～65 cm2