中药足浴和足部护理联合常规疗法干预糖尿病周围神经病变疗效分析

Analysis of the Curative Effect of Interference of Chinese Herbal Foot Bath and Foot Care Combined with Routine Therapy for the Diabetic Peripheral Neuropathy

目的:观察在常规治疗基础上加用中药足浴和足部护理干预糖尿病周围神经病变(DPN)患者的临床效果。方法:将115例DPN血瘀证患者随机分为对照组57例和观察组58例。2组均常规给予控制血糖措施,并予甲钴胺片、硫辛酸注射液治疗,对照组采用温水足浴,观察组采用中药足浴,2组均采用相同的足部护理措施。连续治疗2周为1个疗程,间隔2周行下一疗程,共治疗3个疗程。比较2组的临床疗效,治疗前后评定多伦多临床评分系统(TCSS)评分和临床症状评分。结果:治疗后,观察组临床疗效优于对照组(P <0.05)。2组TCSS症状、反射和感觉试验评分及总分均较治疗前下降(P <0.01);观察组3项评分及总分均低于对照组(P <0.01)。2组四肢疼痛、四肢发凉、肢软无力、感觉减退、肢软麻木和肌肉萎缩评分均较治疗前下降(P<0.01);观察组以上临床症状评分均低于对照组(P <0.01)。结论:在常规治疗基础上加用中药足浴和足部护理干预DPN患者能有效改善症状,有确切的治疗效果。

Objective:To observe the clinical effect of interference of the additional application of Chinese herbal foot bath and foot care based on routine therapy for diabetic peripheral neuropathy(DPN).Methods:Divided 115 cases of patients with DPN with blood stasis syndrome randomly into the control group(57 cases)and the observation group(58 cases).Both groups were routinely given blood glucose control measures and treated with mecobalamin tablets and lipoic acid injection.The control group was treated with warm-water foot bath.and the observation group was treated with Chinese herbal foot bath.Both groups were given the same foot care measures.The treatment for both groups lasted for 3 courses.2 weeks per course.One course was given to both groups in an interval of every 2 weeks.Compared the clinical effect of the two groups.and assessed the Toronto clinical score system(TCSS)scores and clinical symptom scores before and after treatment.Results:After treatment.the clinical effect of the observation group was better than that of the control group(P<0.05).The scores of TCSS symptoms.reflections and sensation tests and the total scores in the groups were lower than those before treatment(P<0.01);these three scores and the total scores of the observation group were lower than those of the control group(P<0.01).The scores of extremities pain.extremities coldness.extremities weakness.loss of sensation.extremities softness and numbness.and muscle atrophy of the two groups were lower than those before treatment(P<0.01);these clinical symptom scores in the observation group were lower than those in the control group(P<0.01).Conclusion:On the basis of routine treatment.the interference of additional application of Chinese herbal foot bath and foot care for patients with DPN can effectively improve their symptoms.It has definite curative effect.