浴足方治疗糖尿病周围神经病变用药规律分析

Analysis of medication rules of foot bath prescription in treating diabetic peripheral neuropathy

目的:探究浴足方治疗糖尿病周围神经病变的用药规律,为临床合理用药提供参考。方法:运用病例采集方法收集糖尿病住院患者的治疗方法,分析糖尿病周围神经病变患者住院期间浴足方使用情况,提取治疗过程中应用中药的频次、频率、中药学分类等,对浴足方治疗糖尿病周围神经病变的用药规律进行分析。结果:收集到浴足方122首,105味中药使用总频次为1124次,其中使用频次前10味的药物有黄芪、红花、鸡血藤、川芎、当归、桂枝、乳香、忍冬藤、没药、赤芍。在105味中药中,活血药使用频次最高,其次是补益药,清热药、解表药和祛风湿药也占一定的比重。结论:浴足方治疗糖尿病性周围神经病变以活血化瘀为主,补益、清热为辅,兼及其他,以达到标本兼顾。

Objective: To explore the regularity of the treatment of diabetic peripheral neuropathy by bath foot massage, and to provide reference for clinical rational drug use. Method: Case collection method was used to collect the treatment of patients with diabetes in hospital. The use of bath foot in patients with diabetic peripheral neuropathy was analyzed to extract the treatment frequency, frequency and classification of traditional Chinese medicine in the course. And the medication rule of bath foot prescription in treating diabetic peripheral neuropathy was analyzed. Result: 122 foot bath prescriptions were collected, and the total frequency of 105 Chinese herbs was 1124. The top 10 drugs of the frequency were Huangqi, Honghua, Jixueteng, Chuanxiong, Danggui, Guizhi, Ruxiang, Rendongteng, Moyao, and Chishao. Among the 105 herbs, the use rate of medicine for activating blood flow was the highest, followed by tonic medicine. Heat clearing medicine, relieving exterior medicine and expelling wind dampness medicine also occupied a certain proportion. Conclusion: Foot bath prescription for treatment of diabetic peripheral neuropathy mainly promote blood circulation to remove blood stasis, tonify and clear heat at the same time with other adjuvant therapy to treat both manifestation and root cause of disease.