摘要
[目的]观察中药熏洗、穴位敷贴联合常规治疗0级糖尿病足疗效。[方法]使用随机平行对照方法,将60例住院患者按就诊顺序号简单随机分为两组。对照组30例常规治疗,降糖、胰岛素;合理控制血糖、血压、血脂,合理饮食,适当运动,讲解糖尿病相关知识,足部护理。治疗组30例中药熏洗（羌活、独活各15g,吴茱萸、艾叶、当归各10g,川红花、海桐皮各8g,透骨草、细辛各6g）,水煎1000m L,热气熏蒸足部及双下肢,水温38~40℃,足浴浸泡下肢,30min/次,1次/d;穴位敷贴（吴茱萸10g,肉桂、牛膝各5g,麻黄炙、细辛各3g,研粉,加姜汁调糊,敷贴双足涌泉穴）,3~4h/次,1次/d;常规治疗同对照组。连续治疗56d为1疗程。观测临床症状、踝肱指数、感觉神经传导速度、运动神经传导速度、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈5例,显效12例,有效12例,无效1例,总有效率96.67%。对照组痊愈2例,显效10例,有效13例,无效5例,总有效率83.33%。治疗组疗效优于对照组（P〈0.05）。相关指标治疗组有改善（P〈0.05）,对照组无改善（P〉0.05）,治疗组改善优于对照组（P〈0.05）。[结论]中药熏洗、穴位敷贴联合常规治疗0级糖尿病足效果显著,值得推广。
[Objective]To observe the effect of fumigation, point application combined with conventional treatment interventions 0 Diabetic Foot Ulcers. [Methods]Using random parallel control method, 60 cases of hospitalized patients were randomly divided into two treatment groups simple sequence number. Conventional treatment group 30 cases, hypoglycemic drugs, insulin therapy; reasonable control of blood glucose, blood pressure, blood lipids, proper diet, adequate exercise, explain diabetes-related knowledge, foot care methods. Treatment group of 30 patients with conventional therapy group. Herbal fumigation（Qianghuo,Duhuo each 15 g, Wuzhuyu,Aiye,Danggui 10 g, Chuanhonghua,Haitongpi 8g, Tougucao,Xixin each 6g）, decoction 1000 m L, heat fumigation foot and lower limbs, Water temperature 38 ~ 40 ℃, foot soak lower extremity, 30 min / times, 1 time / d; point applicator（Wuzhuyu 10 g, Rougui,Niuxi 5g, Mahuang,Xixin 3g, powdered, add ginger paste transfer, Sticking feet Yongquan）, 3~4h / second, 1 / d. 56 d is a continuous course of treatment. Observation of clinical symptoms, the ankle-brachial index, sensory nerve conduction velocity, motor nerve conduction velocity, adverse reactions. A course of treatment to determine efficacy. [Results] Treatment group recovered five cases, effective in 12 cases, effective 12 cases, ineffective in one case, the total efficiency of 96.67%. In the control group healed two cases, 10 cases markedly effective in 13 cases, five cases, the total efficiency of 83.33%. Treatment group than the control group（P〈0.05）. Related indicators improved treatment group（P〈0.05）, no improvement in the control group（P〉0.05）, to improve the treatment group than the control group（P〈0.05）. [Conclusion]Herbal fumigation, point application combined with conventional treatment interventions 0 diabetic foot effect is significant, it is worth promoting.
出处
《实用中医内科杂志》
2014年第12期67-69,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
0级糖尿病足
中药熏洗
穴位敷贴
踝肱指数
感觉神经传导速度
运动神经传导速度
中医药疗法
随机平行对照研究
0 diabetic foot
Herbal fumigation
Point applicator
Ankle-brachial index
Sensory nerve conduction velocity
Motor nerve conduction velocity
Chinese medicine
Randomized controlled study in parallel
