首页|胫骨横向骨搬移联合加减桃红四物汤治疗气虚血瘀型糖尿病足的临床疗效观察

胫骨横向骨搬移联合加减桃红四物汤治疗气虚血瘀型糖尿病足的临床疗效观察

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目的 观察胫骨横向骨搬移联合加减桃红四物汤治疗糖尿病足的临床疗效.方法 本研究采用对照研究,将纳入的44例糖尿病足患者分为对照组和研究组,每组22例.对照组行胫骨横向骨搬移术治疗,研究组在此基础上联合加减桃红四物汤治疗,治疗8周后,观察对比两组患者中医证候积分、患足皮温、踝肱指数、足背动脉血流动力学指标以及临床疗效变化.结果 与治疗前相比两组患者中医证候积分、患足皮温、踝肱指数、血管内径及血流流速均较治疗前显著升高(P<0.05),且研究组中医证候积分、疼痛视觉模拟评分、血管内径及血流流速显著高于对照组(P<0.05),但皮温和踝肱指数组间比较,差异无统计学意义(P>0.05);研究组临床疗效总有效率为90.91%,显著高于对照组的总有效率为72.73%(P<0.05).结论 加减桃红四物汤联合胫骨横向骨搬移治疗,可以提高糖尿病足临床疗效.
Clinical observation of tibial transverse transport technique combined with addition and subtraction of taohong siwu decoc-tion in treating qi deficiency and blood stasis type diabetic foot
Objective To observe the clinical efficacy of lateral tibial bone displacement combined with modified Taohong Siwu Decoction in the treatment of diabetic foot.Methods Forty-four patients with diabetic foot were divided into the control group and the study group,with 22 cases in each group.The control group underwent lateral tibial bone displacement surgery,while the study group received modified Taohong Siwu Decoction in addition to the surgery.After 8 weeks of treatment,the traditional Chinese medi-cine syndrome scores,skin temperature of the affected foot,ankle-brachial index(ABI),foot dorsal artery hemodynamic parameters,and changes in clinical efficacy were observed and compared between the two groups.Results After treatment,the traditional Chi-nese medicine syndrome scores,skin temperature of the affected foot,ABI,vascular diameter,and blood flow velocity were significant-ly increased in both groups compared with before treatment(P<0.05).Moreover,the traditional Chinese medicine syndrome scores,Visual Analog Scale(VAS),vascular diameter,and blood flow velocity in the study group were significantly higher than those in the control group(P<0.05),while there was no statistically significant difference in skin temperature and ABI between the two groups(P>0.05).The total effective rate of clinical efficacy in the study group was 90.91%,which was significantly higher than that in the control group(72.73%)(P<0.05).Conclusion Combined treatment with modified Taohong Siwu Decoction and lateral tibial bone displacement can improve the clinical efficacy of diabetic foot.

taohong siwu tangtransverse bone transportdiabetic foot

陈重凯、曾维铨、林东、刘宇、林桂宇、蓝文涛、刘美锭、陈丽明

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福建中医药大学附属第二人民医院 350003

福建中医药大学附属康复医院 350001

桃红四物汤 胫骨横向骨搬移 糖尿病足

福建省科技厅引导性项目

2021Y0031

2024

中国老年保健医学
中国老年保健医学研究会

中国老年保健医学

影响因子:0.637
ISSN:1672-4860
年,卷(期):2024.22(3)
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