中西医结合介入治疗老年糖尿病足45例疗效观察

45 Cases Observation of the Efficacy of Combination of Chinese and Western Interventional Treatment of Elderly Patients with Diabetic Foot

目的:研究中西医结合介入在老年糖尿病足治疗中的价值。方法:收集90例糖尿病足老年患者,依随机原则将其分为两组,对照组(45例)应用常规治疗,观察组(45例)应用中西医结合介入治疗,即患者行患侧肢体下肢数字减影血管造影(DSA)技术,并对狭窄处实施经皮腔内血管成形术(PTA)+复方丹参液灌注,术后给予控制血糖、抗感染和抗凝治疗,观察其疗效。结果:观察组治愈37例,治愈率为82.22%,对照组治愈20例,治愈率为44.44%,观察组疗效明显优于对照组(P<0.05);治疗后观察组足背动脉的管径显著大于对照组,血流量显著大于对照组(P<0.05)。结论:PTA+复方丹参液灌注对老年糖尿病患者的治疗作用明显,对足部血管再生,改善糖尿病足患者下肢动脉微循环、防止血栓形成是极为有效的,值得临床推广应用。

Objective：To study the combination of Chinese and Western intervention in the treatment of elderly diabetic foot value. Methods：Collected in our hospital for treatment of 90 elderly patients with diabetic foot patients divided into two groups, the con trol group （45 cases）, according to the principle of random Integrative interventional treatment application of the conventional treat ment, the observation group （45 cases）, that patients suffering from technology of the the limbs lower extremity digital subtraction angiography （DSA）, and narrow at the implementation of percutaneous transluminal angioplasty surgery （PTA） ＋ compound Dan shen perfusion, was given control of blood sugar, anti inflammatory and anticoagulant therapy, observed two groups effect. Re- sults：The observation group, 37 cases were cured, the cure rate was 82. 22~, the control group, 20 cases were cured, the cure rate was 44. 440/00, the observation group were significantly better than the control group （P^0.05）. After treatment, dorsalis pedis artery diameter was significantly greater than in the control group, the blood flow of the observation group was significantly greater than in the control group （P〈0.05）. Conclusion：PTA ＋ Compound Danshen perfusion obvious role in the treatment of elderly patients with diabetes, foot vascular regeneration, improve the microcirculation of diabetic foot patients with lower extremity arterial prevent thrombosis is extremely effective, and can be applied clinically.