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[目的]观察通痹汤联合西药治疗糖尿病足疗效。[方法]使用随机平行对照方法,将62例住院患者按病志号抽签分为两组,对照组30例①控制血糖:胰岛素。②改善微循环:山莨菪碱+盐酸普鲁卡因。③改善神经功能:弥可保。④降血脂:辛伐他汀类。⑤有溃疡进行局部清创,庆大霉素外敷。治疗组32例通痹汤(附子8g,地龙10g,细辛5g,牛膝20g,川芎15g,生地黄30g,玄参20g,当归15g,黄芪、双花各30g,连翘20g,红花、桂枝各10g)1剂/d,加水2000 mL煎取500 mL分早晚2次服用。西药治疗同对照组。连续治疗10d为1疗程。观测临床症状、不良反应。连续治疗5疗程,判定疗效。随访3个月30例,观察皮肤颜色有无改变,溃疡有无复发或进展。[结果]治疗组显效21例,有效11例,无效0例,总有效率100.00%。对照组显效18例,有效10例,无效2例,总有效率93.33%。治疗组疗效优于对照组(P<0.05)。随访3个月,痊愈病例中4例复发,因未规律治疗糖尿病,血糖不稳定,但对比发病时减轻。[结论]通痹汤联合西药治疗糖尿病足疗效满意。
[Objective] To observe the therapeutic effect of Tongbi Decoction combined with Western medicine on diabetic foot. [Methods] Using randomized parallel control method, 62 inpatients were randomly divided into two groups according to the patient’s disease index. Thirty controls in the control group (1) controlled blood glucose: insulin. ② improve microcirculation: anisodamine + procaine hydrochloride. ③ improve nerve function: Mi can guarantee. ④ hypolipidemic: simvastatin class. ⑤ ulcer for local debridement, gentamicin topical. 32 cases of treatment group Tongbi Tang (Aconite 8g, earthworm 10g, Asarum 5g, Achyranthes 20g, Chuanxiong 15g, Rehmannia 30g, Scrophulariaceae 20g, Angelica 15g, Astragalus, double flower each 30g, forsythia 20g, saffron , Cassia twig each 10g) 1 dose / d, add water 2000 mL Jiancuo 500 mL points take morning and evening 2 times. Western medicine treatment with the control group. Continuous treatment of 10d for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of 5 courses to determine the efficacy. 30 cases were followed up for 3 months to observe whether the color of the skin was changed or whether the ulcer had recurrence or progression. [Result] In the treatment group, 21 cases were markedly effective, 11 cases effective, 0 ineffective and the total effective rate was 100.00%. The control group markedly effective in 18 cases, effective in 10 cases, 2 cases, the total effective rate was 93.33%. The treatment group was better than the control group (P <0.05). Follow-up 3 months, 4 cases of recurrent cases of recurrence, due to irregular treatment of diabetes, blood glucose instability, but compared to the onset of relief. [Conclusion] Tongbi Decoction combined western medicine is effective in treating diabetic foot.