中药浴足联合刮痧治疗糖尿病周围神经病变合并坏疽感染临床研究

Clinical Study on Chinese Herbal Foot Bath Combined with Scraping for Diabetic Peripheral Neuropathy Complicated with Gangrene Infection

目的:观察中药浴足联合刮痧治疗糖尿病周围神经病变并发坏疽感染的治疗效果。方法:将糖尿病合并周围神经病变并发坏疽的患者200例随机平均分成2组各100例。对照组采用常规降糖、抗感染、换药治疗;实验组在对照组治疗的基础上加用中药浴足联合刮痧治疗。治疗3周后,分析并比较2组患者的治疗效果,神经功能、神经反射和感觉功能评分。结果:治疗21天后,2组患者神经功能评分、神经反射评分、感觉功能评分均较治疗前下降(P <0.05),实验组患者治疗后神经功能评分、神经反射评分、感觉功能评分均低于对照组(P <0.05)。治疗后,实验组总有效率为95%,对照组为56%,2组比较,差异有统计学意义(P <0.05)。结论:中药浴足联合刮痧治疗糖尿病周围神经病变合并坏疽患者较常规治疗方式效果更好。

Objective:To observe the curative effect of Chinese herbal foot bath combined with scraping for diabetic peripheral neuropathy complicated with gangrene infection.Methods:Divided 200 cases of patients with diabetes complicated with peripheral neuropathy with gangrene randomly into two groups,100 cases in each group.The control group was treated with routine hypoglycemic and anti-infective treatment and dressing change,while the experiment group was additionally treated with Chinese herbal foot bath combined with scraping.After 3 weeks of treatment,analyzed and compared the curative effect,neurological function,neuroreflex and sensory function scores in the two groups.Results:After 21 days of treatment,the neurological function scores,nerve reflex scores and sensory function scores of the two groups were decreased when compared with those before treatment(P<0.05);the neurological function scores,nerve reflex scores and sensory function scores of the experiment group were lower than those of the control group.(P<0.05).After treatment,the total effective rate was 95%in the experiment group and 56%in the control group,difference being significant(P<0.05).Conclusion:The application of Chinese herbal foot bath combined with scraping has better effect in treating diabetic peripheral neuropathy with gangrene than that of routine treatment.