中西医结合治疗糖尿病足的临床观察

Clinical observation on treatment of diabetic foot ulcerous by integrative chinese and western medicine

[目的]观察中西医结合治疗糖尿病足的临床疗效。[方法]将32例糖尿病足患者随机分为治疗组16例和对照组16例。两组患者均给予相同的基础治疗、营养神经、抗凝、扩张血管、改善微循环、外治法治疗,治疗组在此基础上加用中医辨证施治。[结果]治疗组显效9例,有效6例,无效1例,总有效率93.7%;对照组显效5例,有效7例,无效4例,总有效率75%;两组比较,差异有显著性(χ2=15.8,P<0.05)。治疗组溃疡大小、新鲜创面肉芽例数与对照组比较,差异有显著性(P<0.05)。两组治疗后空腹血糖,餐后2h血糖均有改善,与治疗前比较,差异有显著性(P<0.05)。[结论]中西医结合治疗糖尿病足的疗效比单用西药治疗为好。

[Objective] To observe the efficacy of integrative Chinese and western medicine （ICWM） in treating diabetic foot ulcerous. [ Methods] Thirty - two patients were randomly divided into the t reated group （ n = 16） and the contrapose group （ n = 16）. Both groups were treated by same baseline treatment with nurture nerve,antiagglutination agents ,vasodilator , improve tiny circulation and external treatment , to the treated group ,Chinese drugs were given additionally according to the Syndrome Differentiation. [ Results] In the treated group,the treatment showed markedly effective in 9patient - s , effective in 6 and ineffective in 1, the total effective rate being 93.7%, while in the control group, the corresponding numbers were 5,7,4 and 75%, comparison between the two groups showed significant difference（X^2 = 15.8, P 〈 0.05）. Patients with healing of ulcerative wound and fresh wound granulation in the treated group, as compared with those in the control group, the difference was significant （ P 〈 0.05） . Levels of fasting blood glucose and blood glucose 2 hrs after meal were all improved in both groups , which showed significant difference as compared with those before treatment （P〈0.05）. [ Conclusion] The efficacy of ICWM treatment in treating diabetic foot was better than the treatment of western medicine alone.