中西医结合治疗糖尿病足的临床观察

Clinical observation on treatment of diabetic foot ulcerous by integrative chinese and western medicine

关键词:  糖尿病足  综合治疗  中医药治疗  辨证论治

Key words:  diabetic foot ulcerous  comprehensive therapy  TCM treatment  treatment according to syndrome differentiation

摘要:

［目的］观察中西医结合治疗糖尿病足的临床疗效。［方法］将32例糖尿病足患者随机分为治疗组16例和对照组16例。两组患者均给予相同的基础治疗、营养神经、抗凝、扩张血管、改善微循环、外治法治疗,治疗组在此基础上加用中医辨证施治。［结果］治疗组显效9 例,有效6 例,无效1例,总有效率93.7%;对照组显效5例,有效7例,无效4例,总有效率75%;两组比较,差异有显著性(χ2=15.8,P<0.05) 。治疗组溃疡大孝新鲜创面肉芽例数与对照组比较,差异有显著性(P<0.05) 。两组治疗后空腹血糖,餐后2h 血糖均有改善, 与治疗前比较,差异有显著性(P<0.05)。［结论］中西医结合治疗糖尿病足的疗效比单用西药治疗为好。

Abstract:

［Objective］ To observe the efficacy of integrative Chinese and western medicine (ICWM) in treating diabetic foot ulcerous. ［Methods］ Thirty-two patients were randomly divided into the treated group (n=16) and the contrapose group (n=16). Both groups were treated by same baseline treatment with nurture nerve, antiagglutination agents, vasodilator ,improve tiny circulation and external treatment , to the treated group , Chinese drugs were given additionally according to the Syndrome Different iation.［Results］ In the treated group, the treatment showed markedly effe ctive in 9patient-s , effective in 6 and ineffective in 1, the total effective rate being 93.7%, while in the control group, the corresponding numbers were 5,7,4 and 75%, comparison between the two groups showed significant differen ce(χ2=15.8,P<0.05). Patients with healing of ulcerative wound and fresh wound granulation in the treated group, as compared with those in the control group, the difference was significant (P<0.05) . Levels of fasting blood g lucose and blood glucose 2 hrs after meal were all improved in both groups , whi ch showed significant difference as compared with those before treatment (P<0.05).［Conclusion］ The efficacy of ICWM treatment in treating diabetic foot was better than the treatment of western medicine alone.