中医治未病防治糖尿病足的可行性分析

Feasibility analysis of traditional Chinese medicine for prevention and treatment of diabetic foot

目的探讨分析中医治未病糖尿病足防治的可行性。方法选择2014年7月至2015年7月我中心收治的2型糖尿病且糖尿病组0级患者87例,将其随机分为观察组45例、对照组42例,两组均维持原有的糖尿病基础治疗方案,观察组在此基础上给予益气活血通络方,比较两组患者观察8周后空腹血糖(FPG)、餐后2 h血糖(2h PBG)、糖化血红蛋白(Hb Alc)以及足部浅感觉、深感觉变化情况。结果治疗后对照组患者血糖、Hb Alc水平无显著变化(P>0.05),而观察组患者血糖、Hb Alc水平显著降低(P<0.05),治疗后观察组患者血糖、Hb Alc水平显著低于对照组(P<0.05);治疗后对照组足部浅感觉、深感觉无明显变化(P>0.05),而治疗后观察组足部浅感觉、深感觉明显改善(P<0.05),且治疗后观察组足部浅感觉、深感觉显著优于对照组(P<0.05)。结论中医活血通络法治疗0级糖尿病足患者,有利于患者机体血糖水平的控制,同时能够有效改善患者糖尿病足的进一步发展,体现了中医"既病防变"的"治未病"思想。

Objective To explore the feasibility of the prevention and treatment of diabetic foot in traditional Chinese medicine. Methods We selected 87 cases from July 2015 to July 2014 in our hospital treated type 2 diabetes and diabetic group patients with stage 0,randomly divided to observation group（ 45 cases） and control group（ 42 cases）. Two groups maintained the original diabetes foundation treatment scheme,the group on the basis of this observation treated by Yiqi Huoxue Tongluo recipe,were compared between the two groups observed after eight weeks of fasting plasma glucose（ FPG）, postprandial 2h plasma glucose（ 2h PBG）,glycosylated hemoglobin（ Hb Alc） and foot superficial sensation,deep feeling changes. Results After treatment in the control group,levels of blood glucose,Hb Alc levels had no significant change（ P 0. 05）,and observed groups of patients with blood glucose,Hb A1 c levels were significantly lower（ P 0. 05）. After treatment,observation group,levels of blood glucose,Hb A1 c level was significantly lower than that of the control group（ P 0. 05）; control group after treatment of foot superficial feeling,deep feeling had no significant change（ P 0. 05）,and after treatment,the observation group of foot superficial feeling,deep feeling improved significantly（ P 0. 05） and after treatment,the observation group of foot superficial feeling,deep feeling was significantly better than the control group（ P 0. 05）. Conclusions Traditional Chinese medicine Huoxue Tongluo treatment of 0 grade diabetic foot patients,is conducive to the body ＇s blood sugar levels in patients of control,can also effectively improve the further development of patients ＇ diabetic foot,and embodies the Chinese thought for ＂ prevention＂ of ＂ curing in advance＂.