复荣通脉胶囊联合足底反射区穴位按摩治疗糖尿病高危足患者的疗效观察  

Clinical Observation on Furong Tongmai Capsules Combined with Acupoint Massage in Plantar Reflex Zone in Treating High-Risk Diabetic Foot

作　　者：侯学娟 宋雪 张胜男 徐书芬 HOU Xue-juan;SONG Xue;ZHANG Sheng-nan;XU Shu-fen(Department of Lung Disease,Hengshui Hospital of Traditional Chinese Medicine,Hengshui Hebei 053000;Department of Endocrinology and Nephrology,Hengshui Hospital of Traditional Chinese Medicine,Hengshui Hebei 053000;Department of Internal Medicine,Hengshui Hospital of Traditional Chinese Medicine,Hengshui Hebei 053000)

机构地区：[1]衡水市中医医院肺病科,河北衡水053000 [2]衡水市中医医院内分泌肾病科,河北衡水053000 [3]衡水市中医医院内科,河北衡水053000

出　　处：《世界中西医结合杂志》2024年第4期774-778,788,共6页World Journal of Integrated Traditional and Western Medicine

基　　金：河北省中医药管理局项目(2021364)。

摘　　要：目的 观察复荣通脉胶囊联合足底反射区穴位按摩治疗气阴两虚、瘀阻经络证糖尿病高危足患者的效果及对其足底峰值压力、神经传导的影响。方法 选取2020年6月—2021年5月期间衡水市中医医院收治的80例糖尿病高危足患者作为研究对象,按随机数字表及随机余数法分为对照组和治疗组,每组各40例。在基础治疗上,对照组给予反射区穴位按摩治疗,治疗组给予复荣通脉胶囊+反射区穴位按摩治疗。治疗12周后。观察比较两组患者临床疗效,治疗前后中医症状评分、血糖指标[空腹血糖(Fasting blood glucose,FBG)、糖化血红蛋白(Glycosylated hemoglobin,HbA1c)]、神经受损程度(TCSS评分)、踝肱指数(Ankle-brachial index,ABI值)、足底峰值压力、神经传导速度及复发率。结果 治疗后治疗组总有效率90.00%(36/40)明显高于对照组72.50%(29/40)差异有统计学意义(P<0.05)。治疗第4、8、12周后两组患者口渴喜饮、少气懒言、五心烦热、麻木刺痛中医症状评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗组口渴喜饮、少气懒言、五心烦热、麻木刺痛中医症状评分均明显低于对照组同期,差异有统计学意义(P<0.05)。治疗第12周后两组患者血糖指标FBG、HbA1c水平均较治疗前降低,差异有统计学意义(P<0.05);两组间比较差异无统计学意义(P>0.05)。治疗第4、8、12周后两组患者TCSS评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗组TCSS评分明显低于对照组同期,差异有统计学意义(P<0.05)。治疗第4、8、12周后两组患者ABI值均较治疗前升高,差异有统计学意义(P<0.05);且治疗组ABI值明显高于对照组同期,差异有统计学意义(P<0.05)。治疗第4、8、12周后两组患者足底峰值压力均较治疗前降低,差异有统计学意义(P<0.05);且治疗组足底峰值压力明显低于对照组同期,差异有统计学意义(P<0.05)。治疗第4、8、12周后两组患�Objective To observe the effect of Furong Tongmai Capsules combined with acupoint massage in plantar reflex zone in treating the patients with high-risk diabetic foot due to qi-yin deficiency and stasis obstructing meridians and collaterals and the influences of the treatment on peak plantar pressure and nerve conduction.Methods Eighty patients with high-risk diabetic foot treated in the Hengshui Hospital of Traditional Chinese Medicine from June 2020 to May 2021were assigned into a treatment group and a control group according to the random number table method and random number remainder method,with 40 patients in each group.On the basis of routine therapy,the control group received acupoint massage in plantar reflex zone,and the treatment group received Furong Tongmai Capsules+acupoint massage in plantar reflex zone.The patients in both groups were treated for 12 weeks,and the clinical efficacy and recurrence rate were compared between the two groups after treatment.The TCM symptom scores,blood glucose indicators[fasting blood glucose(FBG)and glycosylated hemoglobin(HbA1c)],nerve damage[Toronto Clinical Scoring System(TCSS)score],ankle-brachial index(ABI),peak plantar pressure,and nerve conduction velocity were compared between the two groups as well as between before treatment and after treatment.Results The total response rate in the treatment group was 90.00%(36/40),which was higher than that(72.50%,29/40)in the control group(P<0.05).At the weeks 4,8,and 12 of treatment,the scores of thirst with desire for drinking,short of breath and unwillingness to speak,vexing heat in chest,palms and soles,and numbness and tingling in both groups declined compared with those before treatment(P<0.05),and the treatment group had lower scores than the control group at the same time point(P<0.05).After 12 weeks of treatment,the levels of FBG and HbA1c declined in both groups(P<0.05)and had no statistical differences between groups(P>0.05).At the weeks 4,8,and 12 of treatment,the TCSS score in both groups declined compared wi

关 键 词：糖尿病高危足 复荣通脉胶囊 足底穴位按摩 气阴两虚证 瘀血阻络证 

分 类 号：R587.2[医药卫生—内分泌]