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采用中西医结合方法,内外合治,综合治疗糖尿病足20例,15d为1个疗程,经4个疗程治疗后,痊愈11例,有效5例,痊愈率55.0%,有效率80.0%,与单纯西医治疗比较显示出明显的优势。控制血糖和抗感染是治疗糖尿病足的关键,扩血管、改善微循环有利于改善患肢缺血缺氧,促进抗菌药效到这病所。中医辨证施治,以益气养阴、活血化瘀药为基本方贯穿始终,兼湿热毒蕴加用清热利湿解毒药,兼阳虚加用温阳散寒药。对于局部治疗不能操之过急,在内科综合治疗下,全身情况好转,配合清理创面,熏洗湿敷,可收到事半功倍的效果。采用保守蚕食方法,可避免病灶扩散。重视糖尿病教育,亦是不可忽视的一环。
Integrative Medicine, both inside and outside the rule, comprehensive treatment of diabetic foot in 20 cases, 15d for a course of treatment, after 4 courses of treatment, recovered in 11 cases, effective in 5 cases, the cure rate was 55.0%, the effective rate of 80.0 %, Compared with Western medicine treatment showed obvious advantages. Control of blood sugar and anti-infection is the key to the treatment of diabetic foot, vasodilators, improve microcirculation is conducive to improving limb ischemia and hypoxia, promote antimicrobial efficacy to this disease. TCM Syndrome Differentiation and Treatment to Qi and nourishing Yin, promoting blood circulation and stasis medicine as the basic square throughout, and damp heat toxic Yun Qingre dampness detoxification drugs, plus yang plus warm yang cold medicine. For local treatment can not be hasty, comprehensive treatment in medicine, the general condition improved, with the cleaning wounds, fumigation wet compress, can receive a multiplier effect. The use of conservative erode method, to avoid the spread of lesions. Emphasis on diabetes education, but also can not be ignored.