拔毒生肌散治疗糖尿病足病溃疡的临床疗效观察

摘要

目的:观察拔毒生肌散在临床中对于糖尿病性足病溃疡的治疗效果.方法:选取2017年4—9月洛阳市第一中医院周围血管病防治中心一病区收治的糖尿病性足病溃疡患者40例,随机分为对照组和观察组.每组20例,2组均在控制血糖、控制感染、改善循环、营养神经、活血化瘀等内治基础上,外治统一使用碘伏、3%过氧化氢(双氧水)消毒液、0.9%氯化钠注射液冲洗创面常规消毒.对照组常规外科消毒后给予敷料包扎固定.观察组常规外科消毒后拔毒生肌散外用.结果:观察组临床总有效率为90%,较对照组的总有效率65%,显著提高,差异有统计学意义(P＜0.05).治疗前2组总积分比较,差异无统计学意义(P＞0.05).治疗后2组总积分比较均有所降低,差异有统计学意义(P＜0.05),观察组优于对照组.结论:拔毒生肌散在糖尿病性足病溃疡的治疗中有明显优势,可减轻患者痛苦,缩短治疗周期.具有作用快速,疗效显著,不良反应少,运用方便,便于直接观察,随时掌握等优点.在治疗糖尿病足病溃疡有着独特的优势.%Objective:To observe the efficacy of Badu Shengji powder in clinical practice for diabetic foot ulcer disease .Methods:From April 2017 to September 2017,40 patients with diabetic foot ulcers admitted to the first ward of the Peripheral Vascular Dis －ease Prevention Center of Luoyang First Hospital of TCM were randomly divided into the control group and the observation group , with 20 patients in each group.Both groups were based on the internal control of blood glucose control ,infection control,circulation improvement,nutrition nerves,blood circulation,etc.The iodophor,3% hydrogen peroxide (Hydrogen peroxide) disinfectant,and 0.9%sodium chloride injection were used to rinse the wound and routinely disinfect.The control group was given the dressing and fixed after the routine surgical disinfection.The observation group was given external use of Badu Shengji powder with conventional surgery after disinfection.Results:The total effective rate of the observation group was 95%,which was significantly increased than 55%of the control group,and the difference was statistically significant (P＜0.05).Conclusion:Badu Shengji powder has obvious advantages in clinical for treatment of diabetic foot disease ulcer ,relieve the pain of patients ,shorten the treatment cycle.It has the advantages of quick effect ,remarkable curative effects,less side effect,convenient application ,convenient for direct observation and mastering at any time.It has a unique advantage in the treatment of diabetic foot ulcers.