中西医结合治疗糖尿病足的疗效对比研究

Compared the Efficacy in Patients with Diabetic Foot by Integrative Chinese and Western Medicine

目的 探讨中西医结合治疗糖尿病足的临床疗效.方法 将80例糖尿病足患者按治疗方法 不同分为西医治疗组（A组,40例）和中西医结合治疗组（B组,40例）.A组在降血糖的基础上给予营养神经、抗凝、扩张血管、改善微循环、抗感染等治疗,B组在此基础上加用中医辨证施治,观察病人治疗前后相关指标变化及溃疡愈合情况.结果 B组总有效37例（92.5%）,明显高于A组31例（77.5）（x2=15.8,P＜0.05）;两组患者治疗后FBG、PBG（2 h）水平与治疗前比较,均有显著性差异（t：2.345,2.415,P均＜0.05）;组间比较无显著性差异（P＞0.05）;B组平均溃疡完全愈合时间为（4.5±0.5）周,明显低于A组（6.8±0.7）周（t=2.245,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 investigate the clinical efficacy of the treatment for diabetic foot with integrated traditional Chinese medicine（TCM） and western medicine（WM）. Methods 80 patients with diabetic foot were divided into the integrated TCM（ n=40） and WM group（ n =40） and were given nutrition, anticoagulation and dilation of blood vessels, microcirculation and anti - infection therapy after reducing the blood glucose. Patients in the integrated TCM and WM group were added with TCM differential treatment while patients in the TCM group were provided with oral and external use of TCM. The changes of relevant indicators before and after treatment and ulcer healing were observed. Results The total effective 37 cases （92.5%） in group B were significantly higher than 31 cases （77.5%） in group A （X2 = 15.8 ,P 〈0.05）. The indicators of FBG, PBG （2 h） after treatment than that before treatment in two groups were of significant difference. （ t = 2. 345, t = 2.415, P 〈 0.05 ） and comparison among groups were of no significant difference（ P 〉0.05）. The average time for complete healing of ulcers （4.5 ±0.5 weeks） in group B were significantly lower than that in group A （ 6.8 ±0.7 weeks） （ t = 2. 245, P 〈 0.05 ）. Conclusion The efficacy of TCM treatment in treating diabetic foot was better than the treatment of western medicine alone.