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油调膏外敷治疗湿热毒盛型糖尿病足溃疡的临床效果观察 被引量:23

Clinical effect observation of oil ointment in the treatment of diabetic foot ulceration with damp and hot accumulate resistance syndrome
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摘要 目的探讨油调膏外敷治疗湿热毒盛型糖尿病足溃疡的临床效果。方法选取本院2014年12月~2015年9月收治的48例湿热毒盛型糖尿病足患者作为研究对象,随机分为治疗组和对照组,各24例。对照组在常规治疗的基础上局部采用庆大霉素+胰岛素换药,治疗组在常规治疗的基础上给予油调膏外敷处理。比较两组的总有效率、疮面红肿开始消退时间及不良反应发生率。结果治疗组的总有效率为91.67%,显著高于对照组的75.00%,差异有统计学意义(P〈0.05)。治疗组的疮面红肿开始消退时间为(3.21±1.35)d,显著短于对照组的(5.29±1.98)d,差异有统计学意义(P〈0.05)。两组均无明显不良反应。结论油调膏外敷既可以促进湿热毒盛型糖尿病足的疮面愈合,又可以明显缩短局部肿胀消除时间,不良反应发生率低,安全性好,具有较高的临床应用价值。 Objective To explore the clinical effect of oil ointment in the treatment of diabetic foot ulceration with damp and hot accumulate resistance syndrome. Methods 48 diabetic foot patients with damp and hot accumulate resistance syndrome in our hospital from December 2014 to September 2015 were selected and randomly divided into the treatment group and the control group,24 cases in each group.The control group was treated with gentamicin combined with insulin on the basis of the normal treatment,the treatment group was treated with oil ointment on the basis of the normal treatment.The total effective rate,the extinctive time of wound swelling and the incidence rate of adverse reaction in the two groups was compared respectively. Results The total effective rate of the treatment group was 91.67%,which was higher than 75.00% in the control group,with significant difference(P0.05).The extinctive time of wound swelling in the treatment group was(3.21±1.35) days,which was shorter than(5.29±1.98) days in the control group,with significant difference(P0.05).There was no obvious adverse reaction in the two groups. Conclusion External application of oil ointment can promote wound healing,and obviously reduce the swelling,the incidence rate of adverse reaction is low,which has high clinical application value.
出处 《中国当代医药》 2016年第12期116-118,121,共4页 China Modern Medicine
关键词 糖尿病足 中医外治 箍围药 湿热毒盛 Diabetic foot External treatment of traditional Chinese medicine Encircling drugs Damp and hot accumulate resistance syndrome
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