34例非缺血性糖尿病足中西医结合治疗临床观察

Clinical observation on treating 34 cases of non-ischemic diabetes foot in the integrative medicine

目的:观察中西医结合治疗非缺血性糖尿病足的临床疗效。方法:将非缺血性糖尿病足68例随机分为两组。两组均予控制感染、降糖、降压、降脂等西药综合基础治疗,治疗组在此基础上同时予中药内服黄芪桂枝五物汤,且外敷湿润烧伤膏及足浴治疗;对照组予常规局部清创,凡士林纱布外敷。两组均以3个月为1个疗程。结果:治疗组总有效率91.18%,对照组总有效率85.29%,两组总有效率比较差异有统计学意义(P<0.05),治疗组疗效优于对照组;两组治疗后空腹血糖、总胆固醇与本组治疗前比较差异均有统计学意义(P<0.05),组间比较差异亦有统计学意义(P<0.05),治疗组改善优于对照组。结论:中西医结合治疗非缺血性糖尿病足具有低花费、低截肢率、低复发率等优势,临床疗效确切。

Objectivc： To investigate the clinical effect of the integrative medicine in treating non-ischemic diabetes foot. Methods： 68 patients with non-ischemic diabetes foot were randomly divided into two groups. Both groups were given basic treatments including anti-infection, decreasing blood sugar and pressure. The treated group was given Huangqi Guizhi Wuwu decoction by oral, moistening burn cream outside and pediluvium more. The control group was given routine regional debride and paving with petrolatum gauzes. Results： The total effective rates of the treated group and the control group were 91.18% and 85.29% respectively, with significant differences （P〈0.05）. The contents of fasting blood glucose and total cholesterol in both groups had significant differences （P〈0.05）. Conclusion： The integrative medicine had many advantages in treating non-ischemic diabetes foot, including low cost, amputation rate and recurrence rate.