芪归通络汤内服及中药熏洗提升糖尿病足患者生活质量效果研究  

Study on the Quality of Life of Patients with Diabetic Foot Treated by Qigui Tongluo Decoction and Chinese Herbal Fumigation

作　　者：安宁 阿尼克孜.阿不都热西提 杨琨 AN Ning;Abdurishid · Alnwick;YANG Kun(Department of Burn and Orthopedics, the Affiliated Hospital of Xin- fiang Medical University （ Urumqi Xinjiang 830000, Chin)

机构地区：[1]新疆医科大学附属医院烧伤整形科,新疆乌鲁木齐830000

出　　处：《四川中医》2018年第6期95-97,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：新疆医科大学第一附属医院科研基金项目(编号:2007-YFY-23)

摘　　要：目的:观察芪归通络汤内服及中药熏洗提升糖尿病足患者生活质量效果。方法:选取我院2016年5月~2017年11月收治的130例糖尿病足患者作为研究对象,采取随机数字表法将其分为观察组与对照组,对照组患者(65例)常规干预,观察组患者(65例)常规干预基础上给予患者芪归通络汤内服及中药熏洗干预,对比两组患者临床疗效、足背动脉血流动力学指标改善情况、干预后患者睡眠质量(匹兹堡睡眠指数,PSQI)及生活质量(SF-36)、患者满意程度。结果:观察组患者治疗总有效率为100.00%,显著高于对照组93.85%,P<0.05;干预前两组患者足背动脉血流动力学指标(血流量、平均血流速度、内径)相当,P>0.05,干预后各组患者均改善,观察组优于对照组,P<0.05;观察组患者干预后PSQI及SF-36评分均优于对照组,且患者满意率为98.46%,高于对照组89.23%,P<0.05,差异具有统计学意义。结论:芪归通络汤内服及中药熏洗可提升糖尿病足患者临床疗效及生活质量,患者恢复好,睡眠佳,满意率高,可推广应用。Objective： To explore the quality of life of patients with diabetic foot by using Chinese medicine and herbal fumigation. Methods： Selection in May 2016to November 2017treated 130cases of diabetic foot patients as the research objects, took the random number table method were divided into observation group and controlled group, the controlled group （65cases） patients treated with conventional intervention, the observation group （65cases） patients treated with Qigui Tongluo Decoction based on conventional intervention, and traditional Chinese medicine fumigation intervention, compared the two groups of patients with clinical efficacy, dorsalis pedis artery blood flow mechanics index to improve the situation, after the intervention patients sleep quality （Pittsburgh sleep index, PSQI） and the quality of life （SF-36）, patients satisfaction. Results： The total effective rate of the observation group was 100. 00%, significantly higher tlum the controlled group 93.85%, P〈0. 05 ; Dorsalis pedis artery blood flow in both groups before intervention mechanics index （ blood flow, mean blood flow velocity, and diameter）, P〉0. 05, groups of patients were improved after intervention, the observation group was better than that of the controlled group, P〈0. 05 ; After in- tervention, PSQI and SF-36score were better than the controlled group, and the satisfaction rate of patients was 98.46% , higher than 89. 23% in the controlled group, P〈0.05; and the difference was statistically significant. Conclusion： Qigui Tongluo Decoction and traditional Chinese medicine fumigation can improve the clinical efficacy and quality of life of diabetic foot patients. Patients can recover well, sleep well, and have high satisfaction rate, which can be widely applied.

关 键 词：糖尿病足 芪归通络汤 中药熏洗 疗效 生活质量 

分 类 号：R587.2[医药卫生—内分泌]