中药活血通络方足浴对早期糖尿病足的疗效评价  

Assessment of therapeutic effect in patients with early diabetic-foot treated with prescription of quicken blood flow and free net work vessel

作　　者：忻维克 左玉华[1] 张玮[1] 蔡伟青[1] 王云飞[1] XIN Weike, ZUO Yuhua , ZHANG Wei, CAI Weiqing , WANG Yunfei. （Cao Yang Community Health Service Center Pu Tuo District, Shanghai 200062）

机构地区：[1]上海市普陀区曹杨社区卫生服务中心,200062

出　　处：《社区卫生保健》2007年第5期351-353,共3页Journal of Community Healthcare

摘　　要：目的探讨中药活血通络方足浴疗法对早期糖尿病足的疗效。方法90例糖尿病足患者，试验组60例用活血通络方足浴治疗；对照组30例用温水足浴，治疗前后进行中医症候，密歇根神经病变筛选法（MNSI）以及踝臂指数（ABI）评分比较疗效。结果两组中医症候疗效比较，试验组总有效率为76．67％，明显高于对照组（13．33%）。两组MNSI比较，治疗组总有效率为80％，对照组为10％。两组ABI差异无统计学意义（P〉0．05）。结论中药活血通络方足浴疗法在病因治疗的基础上进行对症治疗可以明显缓解症状及体征，使患者生活质量提高。Objective To probe therapeutic effect in patients with early diabetic-foot treated with Huo Xue Tong Luo Fang （prescription of quicken blood flow and free net-work vessel）. Method In 90 cases suffered with diabetic-foot, 60 cases in test-group were treated with foot-bath of Huo Xue Tong Luo Fang, 30 cases were washed foot with lukewarm water. Before and after treatment, sign of TCM （Traditional Chinese Medicine）, MNSI （Michigan Neuropathy Screening Instrument） and Ankle Brachial Index （ABI） were used for comparing the theropentic effects. Results The therapeutic effects of TCM signs in two groups were compared, the total effective rate was 76.67% in test groups obviously higher than it in control group （13.33%）. The comparison of MNSI in two groups showed that total effective rate was 80% in treatment group and 10% in control group, there was no obvious difference of ABI between the two groups （P〉0.05）. Conclusion Based on causal treatment with TCM foot-bath to give heteropathy will obviously relief symptom and physical sign, patients＇ quality of life will be highly enhanced.

关 键 词：糖尿病足 足浴 中医药 临床试验 

分 类 号：R259.872[医药卫生—中西医结合;医药卫生—中医内科学;医药卫生—中医学]