中西医结合治疗糖尿病足的临床观察

发布时间：2018-06-20 05:37

本文选题：糖尿病足 + 中西医结合疗法　；参考：《浙江中医杂志》2011年01期

【摘要】：目的:探讨中西医结合治疗糖尿病足的临床疗效。方法:将89例糖尿病足患者随机分为对照组45例和治疗组44例,对照组给予糖尿病西医常规治疗,治疗组在西医常规治疗基础上加用中药内服、外洗治疗。并且测定两组病人治疗前后的全血黏度、血小板聚集率、纤维蛋白原、踝肱压指数(AB-PI)、趾肱压指数(TBPI)等相关指标的变化,并比较两种治疗方法的效果。结果:治疗组的总有效率为90.9%,对照组的总有效率为62.2%,两组比较,差异有统计学意义(P0.01);治疗组治疗后的全血黏度、血小板聚集率、纤维蛋白原明显下降(P0.05或P0.01),且与对照组治疗后比较,有显著性差异(P0.05或P0.01);治疗组ABPI、TBPI均较治疗前改善(P0.05或P0.01);对照组ABPI治疗前后比较,亦有显著性差异(P0.05),但TBPI治疗前后比较则无显著性差异(P0.05)。结论:中西医结合疗法治疗糖尿病足疗效优于单纯的西医治疗。
[Abstract]:Objective: to explore the clinical effect of integrated traditional Chinese and western medicine on diabetic foot. Methods: 89 patients with diabetic foot were randomly divided into control group (n = 45) and treatment group (n = 44). The changes of whole blood viscosity, platelet aggregation rate, fibrinogen, ankle brachial pressure index (AB-PIN) and toe brachial pressure index (TBPI) were measured before and after treatment in the two groups, and the effects of the two treatment methods were compared. Results: the total effective rate was 90.9 in the treatment group and 62.2 in the control group. Fibrinogen significantly decreased by P0.05 or P0.01A, and there was significant difference compared with control group (P0.05 or P0.01A), the treatment group (ABPIN TBPI) improved P0.05or P0.01g compared with that before and after treatment, and the control group was compared with the control group before and after ABPI treatment. There was also significant difference (P 0.05), but there was no significant difference before and after treatment with TBPI. Conclusion: the therapeutic effect of integrated traditional Chinese and western medicine on diabetic foot is better than that of western medicine alone.
【作者单位】：浙江省德清县人民医院;
【分类号】：R587.2

【参考文献】