通络协定方联合穴位贴敷治疗早期2型糖尿病下肢血管病变护理研究  

Nursing Study on Tongluo Xieding Prescription Combined with Point Application forPatients with Early Type 2 Diabetes Complicated with Lower Extremity ArterialDisease

作　　者：傅水娟[1] 洪赛赛 杨晓春[1] FU Shuijuan;HONG Saisai;YANG Xiaochun

机构地区：[1]杭州市中医院内分泌科,浙江杭州310007

出　　处：《新中医》2021年第3期159-162,共4页New Chinese Medicine

摘　　要：目的:观察通络协定方联合穴位贴敷治疗早期2型糖尿病下肢血管病变患者的护理效果。方法:将86例早期2型糖尿病下肢血管病变患者按照随机数字表法分成2组,各43例。对照组给予常规降糖、降脂及抗血小板聚集等治疗;观察组于对照组治疗基础上给予通络协定方和穴位贴敷治疗。评价2组患者干预前后中医证候积分及临床疗效,检测2组干预前后空腹血糖水平。检测2组干预前后踝肱指数(ABI)和足背动脉搏动指数、足背动脉平均血流速度,记录治疗期间不良反应。结果:2组干预前空腹血糖水平、糖化血红蛋白水平比较,差异无统计学意义(P>0.05)。2组干预后空腹血糖及糖化血红蛋白水平均低于干预前,观察组干预后空腹血糖水平、糖化血红蛋白水平低于对照组(P<0.05)。2组干预前ABI、足背动脉搏动指数比较,差异无统计学意义(P>0.05);2组干预后ABI、足背动脉搏动指数高于干预前,且观察组优于对照组(P<0.05)。2组干预后足背动脉平均血流速度均高于干预前,观察组干预后足背动脉平均血流速度高于对照组(P<0.05)。2组干预后中医证候积分较干预前下降,观察组下降程度大于对照组(P<0.05)。观察组临床治疗总有效率为90.70%,高于对照组69.77%,2组比较,差异有统计学意义(P<0.05)。2组治疗期间未见明显不良反应。结论:通络协定方联合穴位贴敷治疗早期2型糖尿病下肢血管病变有助于改善患者临床症状和血液流变性,延缓动脉粥样硬化进展,防止管腔进一步狭窄,效果显著且安全。Objective:To observe the nursing effect of Tongluo Xieding prescription combined with point application for patients with early type 2 diabetes complicated with lower extremity arterial disease.Methods:A total of 86 cases of patients with early type 2 diabetes complicated with lower extremity arterial disease were divided into two groups according the random number table method,43 cases in each group.The control group was given routine treatments including reducing blood glucose and blood lipid,and anti-platelet aggregation;the observation group was additionally given Tongluo Xieding prescription and point application based on the treatment of the control group.The Chinese medicine syndrome scores and the clinical effect before and after intervention were evaluated in the two groups.The level of fasting blood glucose before and after intervention was examined in the two groups.Ankle-brachial index(ABI),pulsation index of dorsal artery of foot,and the mean blood flow velocity of dorsal artery of foot before and after intervention were examined in the two groups.The adverse reactions during treatment were recorded.Results:When compared the levels of fasting blood glucose and glycosylated hemoglobin between the two groups before intervention,there was no significance in the difference(P>0.05).After intervention,the levels of fasting blood glucose and glycosylated hemoglobin in the two groups were lower than those before intervention,and the two levels in the observation group were lower than those in the control group(P<0.05).When compared ABI and pulsation index of dorsal artery of foot between the two groups before intervention,there was no significance in the difference(P>0.05).After intervention,ABI and pulsation index of dorsal artery of foot in the two groups were higher than those before intervention, and the two indexes in the observation group were better than those in thecontrol group(P<0.05). After intervention,the mean blood flow velocity of dorsal artery of foot in the two groups was higherthan that bef

关 键 词：2型糖尿病 下肢血管病变 通络协定方 穴位贴敷 动脉粥样硬化 

分 类 号：R248.1[医药卫生—中医临床基础] R587.1[医药卫生—中医学]