和阳解凝汤熏洗辅助治疗下肢动脉硬化闭塞症的效果与护理

Observation of curative effect of Heyangjie decoction fuming and washing in aided treatment of arteriosclerosis obliterans

目的:观察和阳解凝汤熏洗治疗下肢动脉硬化闭塞症(ASO)的临床疗效。方法:选择2015年3月~2016年5月ASO患者150例并随机分为对照组72例和观察组78例。对照组按常规治疗及护理;观察组在此基础上给予中药煎剂和阳解凝汤熏洗双下肢,两组均以30 d为1个疗程。观察两组患者临床疗效,踝肱指数(ABI)、趾肱指数(TBI)及经皮氧分压(TcPO_2)数值。结果:治疗后组间比较观察组优于对照组,差异有统计学意义(P<0.05)。观察组临床疗效、患肢皮温、ABI、TBI及患肢TcPO_2均明显高于对照组,差异有统计学意义(P<0.05)。结论:和阳解凝汤具有温经活血,散寒止痛的功效,能改善ASO患者肢体缺血症状,增加组织灌注量。

Objective：To observe the curative effect of Heyang^ie decoction fuming and washing in aided treatment of arteriosclerosis obliterans （ASO）. Methods：Selected 150 cases of patients from March 2015 to May 2016 and they were divided into control group （72 cases） and observation group （78 ca- ses） at random. The patients in the control group received routine treatment and nursing; and the patients in the observation group, on the basis of routine treatment and nursing, received traditional chinese medicine decoction Heyangjie fuming and washing for their lower limbs. The patients from both groups received one course of treatment for 30 days. The patients from two groups were observed for clinical effect, ankle brachial index （ABI） ,toe brachial index （ TBI）, and transcutaneous oxygen pressure （ TcPO2 ） value. Results ： Through observation after treatment, the observation group was superior to the control group, and the different was statistically significant （ P 〈0.05 ） ; and the patients from observation group were superior to those from control group in clinical effect, affected limb skin temperature, ABI, TBI, and TcPO2 , and the different was statistically significant （ P 〈 0.05 ）. Conclusion ： Heyangiie decoction had the functions of warming channel and activating blood circulation, and eliminating cold to stop pain, and it could improve the limb ischemia symptoms and increase the tissue perfusion of ASO patients.