中西医结合治疗糖尿病足的临床观察

目的 :观察中西医结合治疗糖尿病足的临床疗效。方法 :将 6 3例糖尿病足患者随机分为治疗组33例和对照组 30例。两组患者均给予相同的基础治疗、扩张血管及抗凝治疗、外治法治疗 ,治疗组在此基础上加用中医辨证施治。结果 :治疗组显效 12例 ,有效 18例 ,无效 3例 ,总有效率 90 9% ;对照组显效 9例 ,有效 14例 ,无效 7例 ,总有效率 76 7% ;两组比较 ,差异有显著性 (χ2 =15 8,P <0 0 5 )。治疗组治疗后Ⅱ、Ⅲ、Ⅳ级例数减少 ,恢复为 0级例数增多 ,与对照组比较 ,差异有显著性 (P <0 0 5 )。治疗组溃疡大小、新鲜创面肉芽例数与对照组比较 ,差异有显著性 (P <0 0 5 )。两组治疗后空腹血糖 ,餐后 2h血糖均有改善 ,与治疗前比较 ,差异有显著性 (P <0 0 5 )。结论 :中西医结合治疗糖尿病足的疗效比单用西药治疗为好。

Successful endoscopic sclerotherapy for bleeding gastric varices with combined cyanoacrylate and aethoxysklerol

Two patients with liver cirrhosis and portal hyper-tension related to hepatitis infection were admitted to Shanghai Ruijin Hospital due to recurrent melena and hematemesis. Isolated gastric varices were observed in the gastric fundus during the retroflexion of gastroscope. We carried out endoscopic sclerotherapy successfully for bleeding gastric varices with combined cyanoacrylate and aethoxysklerol, which disappeared dramatically several months after two courses of sclerotherapy for each patient. No complication and clinical signs of gastrointestinal re-bleeding were observed during the 6-mo endoscopic follow-up. CT portal angiography (CTPA) has been widely used in the assessment of variceal treatment and improves the results of endoscopic injection therapy.

视网膜静脉阻塞治疗

视网膜静脉阻塞(ROV)是一种常见的眼底出血性疾病,往往继发新生血管性青光眼,是中老年人失明的主要原因.视网膜静脉阻塞目前有日益增多的趋势.视网膜静脉阻塞多伴有高血压和动脉硬化,其它如血管炎、糖尿病,败血症及红细胞增多症等亦可诱发本病,40岁以上的人发病率较高与性别无明显关系.