拔毒生肌散联合蚕食清创法在糖尿病足溃疡治疗中的应用  

Application of Badu Shengji Powder combined with nibbling debridement in the treatment of diabetic foot ulcer

作　　者：崔云龙 胡淑琴 CUI Yunlong;HU Shuqin(Department of External Medicine,Zibo Hospital of Traditional Chinese Medicine,Shandong Province,Zibo255300,China;Department of Gastroenterology,Zibo Hospital of Traditional Chinese Medicine,Shandong Province,Zibo255300,China)

机构地区：[1]山东省淄博市中医医院外一科,山东淄博255300 [2]山东省淄博市中医医院消化科,山东淄博255300

出　　处：《中国当代医药》2024年第10期110-113,共4页China Modern Medicine

摘　　要：目的观察拔毒生肌散联合蚕食清创法在糖尿病足溃疡治疗中的临床效果。方法选取2021年10月至2022年4月淄博市中医医院收治的48例糖尿病足溃疡患者作为研究对象,按照随机数字表法分成观察组(24例)与对照组(24例),在基础治疗的基础上,对照组给予常规消毒清创,观察组在对照组的基础上加用拔毒生肌散联合蚕食清创法清创,比较两组治疗后的疗效。结果观察组患者治疗后的总有效率高于对照组,差异有统计学意义(P<0.05)。两组患者治疗第14、28天的中医症候评分低于本组治疗第1天,且观察组患者治疗第1、14、28天的中医症候评分低于对照组,差异有统计学意义(P<0.05)。结论拔毒生肌散联合蚕食清创法在糖尿病足溃疡的治疗中,可减轻患者痛苦,缩短治疗周期,具有作用快速、疗效显著、不良反应少、使用方便、便于观察等优点,在治疗糖尿病足病溃疡过程中有着独特的优势。Objective To observe the clinical effect of Badu Shengji Powder combined with nibbling debridement in the treatment of diabetic foot ulcer.Methods A total of 48 patients with diabetic foot ulcer admitted to Zibo Hospital of Traditional Chinese Medicine from October 2021 to April 2022 were selected as the research objects,and were divided into observation group(24 cases)and control group(24 cases)according to the random number table method.On the basis of basic treatment,the control group was given routine disinfection and debridement.On the basis of the control group,the observation group was treated with Badu Shengji Powder combined with nibbling debridement,and the curative effect of the two groups was compared.Results The total effective rate of observation group was higher than that of control group after treatment,and the difference was statistically significant(P<0.05).The traditional Chinese medicine syndrome scores of the two groups on the 14 and 28 d after treatment were lower than those of this group on the 1 d,and the traditional Chinese medicine syndrome scores of the observation group on the 1,14 and 28 d after treatment were lower than those of the control group,with statistical significances(P<0.05).Conclusion In the treatment of diabetic foot ulcer,Badu Shengji Powder combined with nibbles debridement can reduce the pain of patients,shorten the treatment period,with rapid action,significant efficacy,less adverse reactions,easy to use,easy to observe and other advantages,in the treatment of diabetic foot ulcer process has a unique advantage.

关 键 词：拔毒生肌散 蚕食清创法 糖尿病足 溃疡 外治法 煨脓长肉 

分 类 号：R587.1[医药卫生—内分泌]