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63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(χ^2=15．8，P<0．05)。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<0．05)。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<0．05)。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<0．05)。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。

Clinical Observation on Treatment of Diabetic Foot by Integrative Chinese and Western Medicine

OBJECTIVE: To observe the efficacy of integrative Chinese and western medicine (ICWM) in treating diabetic foot. METHODS: Sixty-three patients were randomly divided into the treated group (n = 33) and the control group (n = 30). Both groups were treated by same baseline treatment with vasodilator, anti-agglutination agents and external treatment, to the treated group, Chinese drugs were given additionally according to the Syndrome Differentiation. RESULTS: In the treated group, the treatment showed markedly effective in 12 patients, effective in 18 and ineffective in 3, the total effective rate being 90.0%, while in the control group, the corresponding numbers were 9, 14, 7 and 76.7%, comparison between the two groups showed significant difference (chi 2 = 15.8, P < 0.05). The case number of Grade II, III and IV in the treated group reduced, and those recovered to Grade 0 increased, as compared with those in the control group, the difference was significant (P < 0.05). Patients with healing of ulcerative wound and fresh wound granulation in the treated group, as compared with those in the control group, the difference was significant (P < 0.05). Levels of fasting blood glucose and blood glucose 2 hrs after meal were all improved in both groups, which showed significant difference as compared with those before treatment (P < 0.05). CONCLUSION: The efficacy of ICWM treatment in treating diabetic foot was better than the treatment of western medicine alone.