中药熏洗辅助治疗重症糖尿病足感染临床观察

Clinical Observation on Chinese Medicine Fumigation and Washing in the Treatment of Severe Diabetic Foot Infection

目的探讨中药熏洗辅助治疗重症糖尿病足感染的临床效果。方法选取2018年12月—2020年1月于南昌市洪都中医院接受治疗的102例重症糖尿病足患者,依据随机抽样法将其分为参照组和观察组,每组51例。参照组给予常规方法治疗,观察组在参照组的基础上治疗联合中药熏洗辅助治疗。连续治疗30 d后,比较2组患者的临床疗效、血糖水平以及复发率。结果治疗30 d后,观察组患者治疗总有效率(90.20%)显著优于参照组(74.51%),空腹血糖(FBG)、餐后2 h血糖(2hPG)和糖化血红蛋白(HbA1c)等显著低于参照组,差异具有统计学意义(P<0.05);观察组复发率(3.92%)低于参照组(15.69%)(P<0.05)。结论施以重症糖尿病足感染患者中药熏洗辅助常规治疗方式,不仅疗效显著,而且有效改善其血糖水平、降低复发率,具有一定临床推广价值。

Objective To investigate the clinical effect of Chinese medicine fumigation in the treatment of severe diabetic foot infection.Methods A total of 102 patients with severe diabetic foot who were treated in Nanchang Hongdu Hospital of Traditional Chinese Medicine from December 2018 to January 2020 were selected and divided into the control group and observation group according to random sampling method,with 51 patients in each group.The control group was given conventional treatment,while the observation group was given conventional treatment combined with fumigation and washing.After 30 days of continuous treatment,the clinical efficacy,blood glucose level and disease recurrence of the 2 groups were observed and compared.Results After 30 days of treatment,the total effective rate of patients in the observation group(90.20%)was significantly higher than that in the control group(74.51%),and the differences in FBG,2hPG and HbA1c after treatment were statistically significant(P<0.05).The recurrence rate of the observation group(3.92%)was lower than that of the control group(15.69%)(P<0.05).Conclusion Chinese medicine fumigation as an auxiliary treatment for severe diabetic foot infection not only has a significant effect,but also can effectively improve the blood glucose level and reduce the incidence of disease recurrence.