摘要
目的:观察通络活血方沐足结合常规西医疗法治疗气虚血瘀型糖尿病足的临床疗效。方法:选取60例气虚血瘀型糖尿病足患者为研究对象,按随机数字表法分为对照组和观察组,每组30例。2组均予西医常规疗法治疗,对照组加以温水足浴疗法,观察组加以通络活血方沐足,2组均连续治疗4周。比较2组临床疗效、足背动脉血流动力学指标及腓总神经、胫神经传导速度。结果:观察组治疗总有效率93.33%,高于对照组的73.33%,差异有统计学意义(P<0.05)。治疗后,2组足背动脉血流动力学指标均优于治疗前(P<0.05),观察组治疗后足背动脉血流动力学指标均优于对照组(P<0.05)。治疗后,2组腓总神经、胫神经传导速度均较治疗前好转(P<0.05),观察组腓总神经、胫神经传导速度恢复效果优于对照组(P<0.05)。结论:通络活血方沐足结合西医常规疗法治疗气虚血瘀型糖尿病足,可以提高临床疗效,改善患者的足背动脉血流动力学指标及神经传导速度。
Objective: To observe the clinical effect of footbath with collateral-unblocking and blood-activating prescription combined with routine western medicine therapy for diabetic foot of qi deficiency and blood stasis type.Methods: Selected 60 cases of patients with diabetic foot of qi deficiency and blood stasis type as study subjects, and divided them into the control group and the study group according to different treatment methods,30 cases in each group.Both groups received routine western medicine therapy;the control group additionally received footbath with warm water,while the study group additionally received footbath with collateral-unblocking and blood-activating prescription. The treatment of both groups lasted for 4 weeks continuously. Compared the clinical effect,hemodynamic indexes in the dorsal artery of foot and conduction velocities in common peroneal nerve and tibial nerve in both groups. Results:The total effective rate was 93.33% in the study group,being higher than 73.33% in the control group,difference being significant(P<0.05).After treatment, the hemodynamic indexes in the dorsal artery of foot in both groups were respectively better than those before treatment(P<0.05),and the hemodynamic indexes in the dorsal artery of foot in the study group were respectively better than those in the control group(P<0.05). After treatment, the conduction velocities in common peroneal nerve and tibial nerve in both groups were improved when comparing with those before treatment(P<0.05), and the conduction velocities in common peroneal nerve and tibial nerve in both groups were rehabilitated better than those in the control group(P<0.05). Conclusion:Footbath with collateral-unblocking and blood-activating prescription combined with routine western medicine therapy for diabetic foot of qi deficiency and blood stasis type can enhance clinical effect and improve hemodynamic indexes in the dorsal artery of foot and nerve conduction velocity.
作者
陈铁林
屠伟平
CHEN Tielin;TU Weiping
出处
《新中医》
CAS
2020年第3期66-69,共4页
New Chinese Medicine
关键词
糖尿病足
气虚血瘀型
中西医结合疗法
通络活血方
沐足
足背动脉血流动力学
神经传导速度
Diabetic foot
Qi deficiency and blood stasis type
Integrated Chinese and western medicine therapy
Collateral-unblocking and blood-activating prescription
Footbath
Hemodynamics in the dorsal artery of foot
Nerve conduction velocity
