扶正活血法为主治疗糖尿病足坏疽112例

Therapy mainly for strengthening healthy energy to promote blood circulation in treating 112 diabetic patients with gangrene

目的:评价扶正活血法为主的治疗方法对糖尿病足坏疽的临床疗效。方法:观察112例糖尿病足坏疽患者的创面愈合情况、常见中医证候量化积分及生命质量,评价扶正活血法为主的治疗方法对糖尿病足坏疽的临床疗效。结果:112例患者治愈58例,显效12例,好转36例,无效6例,愈显率62.5%(70/112),截肢率8.9%(10/112)。将104例糖尿病足坏疽三期患者依据坏疽分级分为Ⅰ级、Ⅱ级和Ⅲ级,其愈显率分别为83.3%(30/36)、55.6%(35/63)和20%(1/5),截肢率分别为0%、12.7%(8/63)、40%(2/5)。治疗后患者大部分临床症状与坏疽数量、深浅、范围,溃疡表面色泽,新生肉芽组织,新生上皮组织等较治疗前均明显改善(P<0.05)。患者治疗后生命质量总分较治疗前明显改善(P<0.01),尤其表现在糖尿病对患者生理、心理以及治疗对患者影响等方面(P<0.05)。结论:扶正活血法为主能有效治疗糖尿病足坏疽。

Objective： To evaluate the effects of the therapy mainly for strengthening healthy energy to promote blood circulation in treating diabetic patients with gangrene.Methods： A series of 112 diabetic patients with gangrene were investigated before and after treatment in the changes of wounds,clinical symptoms and quality of life.Results： Fifty-eight cases were cured,12 cases showed response,36 cases improved,and 6 cases failure of treatment.The total obvious effect rate was 62.5%（70/112） and the amputation rate was 8.9%（10/112）.The 104 diabetic cases of three-stage gangrene were classified into gradeⅠ,Ⅱ and Ⅲ.The total effect rates of the diabetic cases of gradeⅠ,Ⅱ and Ⅲ were 83.3%（30/36）,55.6%（35/63） and 20%（1/5）,and the amputation rates were 0%,12.7%（8/63）,and 40%（2/5） respectively.After the treatment,the clinical symptoms,gangrene number,gangrene area and gangrene depth were obviously improved（P〈0.05）,and the quality of life was obviously improved（P〈0.01）,especially in physical condition,emotional well-being and therapeutic effects on patients（P〈0.05）.Conclusion： Strengthening healthy energy to promote blood circulation is effective in treating diabetic patients with gangrene.