中药熏洗治疗糖尿病足患者的效果  

Effects of external fumigation of traditional Chinese medicine powder in treatment of diabetic foot

作　　者：夏凡 XIA Fan(Liaoyang Hospital of Traditional Chinese Medicine,Liaoyang 111000 Liaoning,China)

机构地区：[1]辽阳市中医院,辽宁辽阳111000

出　　处：《中国民康医学》2022年第17期96-99,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察中药熏洗治疗糖尿病足患者的效果。方法:选取2019年1月至2021年5月该院收治的120例糖尿病足患者进行前瞻性研究,以掷硬币法分为对照组和观察组各60例。对照组采用清创换药法治疗,观察组在对照组基础上采用中药熏洗治疗,比较两组创面愈合指数、治疗前后生命质量[生活质量综合评定问卷调查表(GQOLI-74)]评分、治疗总有效率和随访半年内的复发率。结果:治疗后第1、2、3、4周,观察组创面愈合指数均高于对照组,差异有统计学意义(P<0.05);治疗后,两组躯体功能、心理功能、社会功能和物质生活状态等GQOLI-74评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为98.33%(59/60),高于对照组的75.00%(45/60),差异有统计学意义(P<0.05);观察组复发率为3.39%(2/59),低于对照组的22.22%(10/45),差异有统计学意义(P<0.05)。结论:在清创换药法基础上采用中药熏洗治疗糖尿病足患者可提高治疗总有效率、创面愈合指数和生命质量评分,降低复发率,效果优于单纯清创换药法治疗。Objective:To observe effects of external fumigation of traditional Chinese medicine powder in treatment of diabetic foot.Methods:A prospective study was performed on 120 diabetic foot patients admitted to this hospital from January 2019 to May 2021,and they were divided into control group and observation group by tossing a coin method,60 cases in each group.The control group was treated with debridement and dressing change,while the observation group was treated with external fumigation of traditional Chinese medicine powder on the basis of that of the control group.The wound healing index,the quality of life scores before and after the treatment[general quality of life inventory(GQOLI-74)],the total effective rate of treatment and the recurrence rate within six months of follow-up were compared between the two groups.Results:1,2,3 and 4 weeks after the treatment,the wound healing index levels of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the treatment,the GQOLI-74 scores of physical function,psychological function,social function and material life status in the two groups were all higher than those before the treatment,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was 98.33%(59/60),which was higher than the control group of 75.00%(45/60),and the difference was statistically significant(P<0.05).Further,the recurrence rates in the observation group were 3.39%(2/59),which were lower than 22.22%(10/45)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of debridement and dressing change,the external fumigation of traditional Chinese medicine powder in the treatment of the diabetic foot patients can improve the total effective rate of treatment,the wound healing index and the quality of life score,and reduce the recurrence rate.More

关 键 词：糖尿病足 中药熏洗 清创换药 创面 生命质量 复发率 

分 类 号：R587.2[医药卫生—内分泌]