通痹汤联合西药治疗糖尿病足随机平行对照研究 |
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引用本文: | 王振洪,李庆伟.通痹汤联合西药治疗糖尿病足随机平行对照研究[J].实用中医内科杂志,2013(7):110-112. |
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作者姓名: | 王振洪 李庆伟 |
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作者单位: | 辽宁省鞍山市台安县中医院内科,辽宁台安114100 |
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摘 要: | 目的]观察通痹汤联合西药治疗糖尿病足疗效。方法]使用随机平行对照方法,将62例住院患者按病志号抽签分为两组,对照组30例①控制血糖:胰岛素。②改善微循环:山莨菪碱+盐酸普鲁卡因。③改善神经功能:弥可保。④降血脂:辛伐他汀类。⑤有溃疡进行局部清创,庆大霉素外敷。治疗组32例通痹汤(附子8g,地龙10g,细辛5g,牛膝20g,川芎15g,生地黄30g,玄参20g,当归15g,黄芪、双花各30g,连翘20g,红花、桂枝各10g)1剂/d,加水2000mL煎取500mL分早晚2次服用。西药治疗同对照组。连续治疗10d为1疗程。观测临床症状、不良反应。连续治疗5疗程,判定疗效。随访3个月30例,观察皮肤颜色有无改变,溃疡有无复发或进展。结果]治疗组显效21例,有效11例,无效0例,总有效率100.00%。对照组显效18例,有效10例,无效2例,总有效率93.33%。治疗组疗效优于对照组(P〈0.05)。随访3个月,痊愈病例中4例复发,因未规律治疗糖尿病,血糖不稳定,但对比发病时减轻。结论]通痹汤联合西药治疗糖尿病足疗效满意。
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关 键 词: | 糖尿病足 脱疽 消渴 通痹汤 Wagner~尿病足分级 弥可保 中西医结合治疗 随机平行对照研究 |
Tongbi Decoction combined with Western Medicine Treatment of Diabetic Foot Randomized Controlled Study |
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Institution: | WANG Zhenhong, LI Hongwei ( Liaoning Province Anshan City Tai'an County Hospital of Traditional Chinese Medicine, Tai'an 114100, Liaoning, China ) |
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Abstract: | Objective ] Observe Tongbi decoction combined with western medicine treatment of diabetic foot treatment. Method ] Using randomized controlled method, 62 cases of hospitalized patients by disease Zhi No. ballot into two groups, 30 cases①control of blood glucose: insulin.② microcirculation: Anisodamine + procaine hydrochloride.③ improve neurological function: Methycobal.④hypolipidemic: simvastatin classes.⑤ ulcers for debridement, gentamiein topical. Treatment group 32 cases Tongbi soup ( Fuzi 8g, Dilong 10g, Xixin 5g, Niuxi 20g, Chuanxiong 15g, Shengdihuang 30g, Xuanshen 20g, Danggui 15g, Huangqi, Jinyinhua each 30g, Lianqiao 20g, Honghua, Guizhi each 10g ) 1 dose / d, add water 2000 mL Jianqu 500 mL minutes morning and evening doses. Western medicine with the control group. 10d is a course of continuous treatment. Observation of clinical symptoms and adverse reactions. Continuous treatment five treatments to determine efficacy. 30 cases followed up for 3 months. Results ] Treatment group, 21 cases were markedly effective, effective in 11 cases, 0 no effect, the total effective rate was 100.00%. 10 cases of the control group 18 cases were markedly effective, effective, invalid in 2 cases, total effective rate was 93.33%.Treatment group than the control group ( P〈0.05 ) . Conclusion ] Tongbi decoction combined with western medicine treatment of diabetic foot were satisfactory. |
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Keywords: | Diabetic foot Gangrene Diabetes Tongbi decoction Wagner diabetic foot classification Methycobal Integrative Medicine Randomized controlled study |
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