摘要
目的:观察中西医结合治疗糖尿病足82例的临床疗效。方法:选择敏感抗生素,如头孢菌素、碳氢酶烯类、喹诺酮类、克林霉素和甲硝唑联合抗感染。前列地尔改善循环。胰岛素类似物强化治疗控制血糖。甲钴胺、维生素、小牛血去蛋白提取物营养神经。中医辨证中成药丹参川芎嗪注射液或丹红注射液静滴,国宝名药片仔癀、中药五味消毒饮合四妙勇安汤、补阳还五汤加减口服,伤口换药等综合治疗。结果:伤口Wagner1~2级,1~3个月内痊愈68例;3级3个月内痊愈3例,明显好转8例,好转3例。治愈率86.6%,明显好转率9.7%,好转率3.7%,总有效率100%。结论:糖尿病足是下肢远端神经异常和周围血管病变相关的足部感染、溃疡形成和(或)深层组织破坏。病情严重复杂,致残致死率高。中西医综合治疗,疗效显著。
Objective: To observe the clinical efficacy of the integrative medicine. Methods: Treating diabetic foot ulcers in the integrative medicine. Results: Wound Wagner 1 -2 grade, 68 cases cured within 1 -3 months; Wound Wagner 3 cases healed within 3 months, significant improvement in 8 cases, improved in 3 cases. Cure rate was 86.6%, significantly improved rate of 9.7%, improvement rate of 3.7%, the total efficiency of 100%. Conclusion: Diabetic foot disease complex, maiming and killing rate was high. The effect of integrative medicine was significant.
出处
《中医临床研究》
2013年第15期76-77,共2页
Clinical Journal Of Chinese Medicine
关键词
糖尿病足溃疡
高血糖
感染血管神经病变
治疗
Diabetic foot ulcers
Hyperglycemia
Infected vascular neuropathy
Treatment