益气化瘀为主综合方案治疗糖尿病性足溃疡临床观察  

Clinical observation of qi-replenishing and blood-stasis-resolving therapy for diabetic foot ulcers

作　　者：阙华发[1] 唐汉钧[1] 向寰宇[1] 刘晓鸫[1] 王云飞[1] 徐杰男[1] 邢捷[1] 张臻[1] 沈亮[1] 单玮[1] 

机构地区：[1]上海中医药大学附属龙华医院中医外科,上海200032

出　　处：《上海中医药杂志》2010年第1期14-17,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市科委科技攻关计划项目(054119560);上海市重点学科建设资助项目(T0304)

摘　　要：目的观察益气化瘀为主综合方案治疗糖尿病性足溃疡的临床疗效。方法共纳入463例糖尿病性足溃疡患者,采用益气化瘀为主的综合方案,内治以益气化瘀贯穿疾病治疗始终,分期辨证论治,外治以祛瘀化腐、补虚活血生肌法中药,注重煨脓祛腐法、煨脓长肉法运用以保持疮面湿润。观察创面愈合情况及截肢率,并评价临床疗效。结果临床总有效率为91.58%,痊愈率为65.87%,截肢率为5.62%,截趾率(致残率)为10.37%,死亡率为1.73%。结论益气化瘀为主综合方案治疗糖尿病性足溃疡疗效良好。Objective To observe the clinical efficacy of qi-replenishing and blood-stasis-resolving therapy for diabetic foot ulcers. Methods 463 cases with diabetic foot ulcers were enrolled and treated by replenishing qi and resolving blood-stasis. Wound healing rate, wound healing time and amputation rate were observed, and the clinical effect was evaluated. Results The total effective rate was 91.58%, the clinical cure rate was 65.87%, and the amputation rate was 5.62%. Conclusion Qi-replenishing and blood-stasis-resolving therapy is effective for diabetic foot ulcers

关 键 词：糖尿病性足溃疡 中医药疗法 益气化瘀 煨脓祛腐 拖线技术 

分 类 号：R259[医药卫生—中西医结合]