通痹汤熏洗联合针刺治疗糖尿病足（气阴两虚，痰瘀阻络证）的临床研究

发布时间：2018-09-04 11:22

【摘要】：目的:运用中医独特的治疗方法,通过观察通痹汤熏洗联合针刺对糖尿病足患者(气阴两虚,痰瘀阻络证)影响,做出客观性的研究,以肯定通痹汤熏洗联合针刺治疗糖尿病足的临床疗效。方法:本研究纳入糖尿病足患者为60例,均来源于长春中医药大学附属医院门诊及内分泌疗区住院病人。患者符合标准后,分为对照组和治疗组,其中治疗组30例,对照组30例。对照组给予基础治疗+甲钴胺口服治疗,治疗组给予基础治疗+通痹汤熏洗联合针刺治疗,4周为1个疗程,2个疗程后观察结果。试验中密切监测患者治疗前后的临床疗效的改善情况,记录后统计评价。结果:通过2个疗程的临床观察,发现治疗组和对照组结果:总体有效率分别为86.67%,73.33%,两组疗效比较(P0.05)差异具有统计学意义,且治疗组在临床疗效上优于对照组。最后确定通痹汤熏洗联合针刺治疗方法在临床上治疗有显著的疗效。结论:通痹汤熏洗联合针刺治疗糖尿病足(气阴两虚,痰湿阻络证)的临床疗效确切,可以显著改善中医临床症状并有一定降低血糖、血脂指标的水平;对糖尿病足患者的神经传导速度、血管情况有改善作用;中医特色疗法可以显著改善糖尿病足患者临床症状及相关检查结果;无明显不良反应。
[Abstract]:Objective: to observe the effect of Tongbi decoction fumigation and washing combined with acupuncture on diabetic foot (deficiency of qi and yin, phlegm and blood stasis syndrome), and to make objective research by using the unique treatment method of traditional Chinese medicine. To confirm Tongbi decoction fumigation combined with acupuncture treatment of diabetic foot clinical efficacy. Methods: sixty patients with diabetic foot were included in this study, all of them were inpatients from the clinic and endocrine therapy area of Changchun University of traditional Chinese Medicine. After meeting the standard, the patients were divided into control group (30 cases) and treatment group (30 cases). The control group was treated by oral mecoamin, and the treatment group was treated with Tongbi decoction combined with acupuncture for 4 weeks. The results were observed after 2 courses of treatment. The improvement of clinical efficacy was closely monitored before and after treatment, and post-statistical evaluation was recorded. Results: after two courses of clinical observation, the results of treatment group and control group were as follows: the total effective rate was 86.67 and 73.33, respectively. The difference between the two groups was statistically significant (P0.05), and the treatment group was superior to the control group in clinical efficacy. Finally, Tongbi decoction fumigation and washing combined with acupuncture treatment in clinical treatment has a significant effect. Conclusion: Tongbi decoction fumigation and washing combined with acupuncture in the treatment of diabetic foot (deficiency of qi and yin, phlegm dampness blocking collaterals syndrome) clinical efficacy is accurate, can significantly improve the clinical symptoms of Chinese medicine and have a certain reduction of blood sugar, blood lipid index level; It can improve the nerve conduction velocity and blood vessel condition of diabetic foot patients; traditional Chinese medicine characteristic therapy can significantly improve the clinical symptoms and related examination results of diabetic foot patients; there is no obvious adverse reaction.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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