中药泡足方联合西药治疗糖尿病足的临床研究

摘要

目的：观察中药泡足方联合西药治疗糖尿病足的临床疗效。方法128例糖尿病足住院患者，随机分为对照组和观察组各64例，在控制血糖、血压、血脂、抗感染等一般治疗的基础上，对照组使用前列地尔针、甲钴胺针、硫辛酸针治疗，每天使用过氧化氢液、碘伏、生理盐水局部清洁消毒后，使用庆大霉素8万U，胰岛素12U局部浸润并无菌纱布包扎。观察组在上述用药基础上给予中药泡足方每天煎汤泡足45min。治疗30d后，观察两组患者临床治疗效果的差异。结果治疗30d后，对照组总有效率79.69%，观察组总有效率93.75%，两组间比较，差异有统计学意义（P＜0.05）。结论中药泡足方联合西药治疗糖尿病足可明显促进糖尿病足溃疡愈合，提高临床疗效。%Objective To study the clinical effect of a Chinese herbal lotion joined with modern medicine on patients with diabetic feet.Methods128 patients with diabetic feet are randomly divided into two groups,both control group and observation group,64 cases in each group.All patients are given to control blood sugar,control blood pressure and lipid,anti-infection commonly.In addition,the control group is treated by Alprostadil Injection,Mecobalamin Injection and Thioctic Acid Injection.Local processing method:Invasion local by gentamicin 80,000 u and insulin 12 u before sterile gauze bandage after local clean disinfection by hydrogen peroxide solution,iodine volts and 0.9% sodium chloride solution.Including all of the above treatments,observation group are treated by soaking their feet into the Chinese herbal lotion for 45 minutes a day.30 days as one therapeutic course.Results30 days after treatment,the control group total effectiveness was 79.69%,total effective rate of the observation group was 93.75%,the difference was significant between the two groups(P<0.05).Conclusion The Chinese herbal lotion joined with modern medicine could improve the clinical curative effect to patients with diabetic feet.