摘要
目的:探讨透骨草外洗方治疗糖尿病足0级的临床疗效。方法:将73例糖尿病足0级患者采用随机数字表法分为治疗组38例和对照组35例。对照组选用胰岛素严格控制血糖,同时在控制血压、血脂等的基础上静脉点滴盐酸川芎嗪、盐酸丁咯地尔;治疗组在对照组基础上给予透骨草外洗方(方药组成:透骨草、伸筋草、威灵仙、川乌、草乌、红花、苏木、鸡血藤、白酒、姜汁醋),每天1剂,分早晚两次熏洗。两组均以20d为1个疗程,连续治疗2个疗程后判定疗效。结果:治疗组显效18例,有效14例,无效6例,有效率为84.21%;对照组显效7例,有效17例,无效11例,有效率为68.57%。两组比较差异有统计学意义(P<0.05)。结论:透骨草外洗方具有祛风散寒、活血化瘀、通络止痛的功效,治疗糖尿病足0级疗效显著。
Objective : To explore the clinical effect of speranskia tuberculata external washing prescription in treating diabetic foot with 0 grade. Methods :73 cases of patients with diabetic foot were divided into the treatment group of 38 cases and the control group of 35 ca- ses by random number table of single blind method. The control group was selected insulin to control blood glucose, and at the same time on the basis of the control of blood pressure and blood liquid,intravenous drip of ligustrazine hydrochloride and buflomedil hydrochlo- ride, each with 20 days ,40 days of continuous use. The treatment group was given speranskia tuberculata external washing prescription ( composition : speranskia tuberculata, lycopodium clavatum, radix clematidis, monkshood, radix aconiti agrestis, safflower, hematoxylon, caulis spatholobi, white wine, ginger juice and vinegar) base on the control group, one dose a day, and fumigation for two times of morn- ing and evening. 20 days as one course of treatment for the two groups, and curative effects were determined after continuous 2 courses of treatment. Results :In the treatment group, 18 cases had marked effect, lg cases were effective,6 cases were ineffective, and the effec- tive rate was 84.21% ;In the control group,7 cases had marked effect, 17 cases were effective, 11 cases were ineffective,and the effec- tive rate was 68.57 %. Comparison of the two groups, the difference was statistically significant ( P 〈 0.05 ). Conclusion : Speranskia tu- berculata external washing prescription has the effects of expelling wind and cold, promoting blood circulation and removing blood sta- sis,activating meridians to relieve pain,which has significant therapeutic effect on treatment of diabetic foot with 0 grade.
出处
《中医学报》
CAS
2013年第6期882-883,共2页
Acta Chinese Medicine
关键词
糖尿病
糖尿病足0级
透骨草外洗方
盐酸川芎嗪
盐酸丁咯地尔
diabetes
diabetic foot with 0 grade
speranskia tuberculata external washing prescription
ligustrazine hydrochloride
buflom-edil hydrochloride