小球囊血管扩张成形术联合中药外治重症肢体缺血的临床观察

Clinical observation of critical limb ischemia treated with small balloon vasodilation plasty and external treatment of Traditional Chinese Medicine

目的:总结小球囊血管成形术联合中药外治重症肢体缺血的经验。方法:将入选的下肢重症肢体缺血患者70例,随机分为治疗组35例,38条肢体,对照组35例,36条肢体,两组患者术前行DSA,存在膝下血管狭窄或闭塞,行膝下小球囊血管成形术,术后治疗组中药组方外敷;对照组应用磺胺嘧啶银乳膏外敷。观察两组在缓解疼痛、溃疡愈合时间。结果:治疗组的疼痛评分治疗前、后具有显著差异(P<0.05),与对照组相比,具有显著差异(P<0.05),溃疡愈合时间与对照组相比,具有显著差异(P<0.05)。结论:膝下小球囊血管扩张成形术联合中药外治重症下肢缺血,能够缓减静息痛,加快溃疡愈合。

Objective：To summarize the experience of small balloon angioplasty combined with external treatment of Traditional Chinese Medicine in the treatment of critical limb ischemia. Methods：70 patients with critical limb ischemia were selected and randomly divided into a treatment group,35 cases in this group with 38 limbs and 35 cases in the control group with 36 limbs. The patients with preoperative DSA had the symptoms of knee vascular stenosis or occlusion. After the small balloon vasodilation plasty, the patients in the treatment group were given external treatment of Traditional Chinese Medicine while the patients in the control group were given sulfadiazine silver cream. The duration of pain relief and curation was observed.Results：The pre-and-post treatment pain scores of the treatment group had remarkable difference （P〈0.05）.Compared with the control group, it has significant difference （P〈 0.05）.Compared with control group, the curative time of ulcer was significant difference （P〈0.05）.Conclusions：Small balloon vasodilation plasty combined with external treatment of Traditional Chinese Medicine in the treatment of severe lower limb ischemia can reduce rest pain and speed up the ulcer curation.