毛冬青煎剂浸泡治疗糖尿病足的临床效果(1)
[摘要]目的 探讨毛冬青煎剂浸泡治疗糖尿病足的临床效果。方法 选取2014年2月～2016年2月我院就诊的糖尿病足患者30例。采用随机数字表法将其分为常规组和毛冬青组，各15例。所有患者均给予降糖等全身治疗，在此基础上，常规组以湿润烧伤膏进行治疗，毛冬青组采取毛冬青煎剂浸泡治疗。比较两组患者治疗总有效率、伤口愈合时间、愈合评分；干预前和干预后两组患者血脂指标、血液流变学指标的差异。结果 毛冬青组治愈率、显效率、治疗总有效率高于常规组(P<0.01)；毛冬青组对比常规组伤口愈合时间更短、愈合评分更低(P<0.05)；干预前两组血脂指标、血液流变学指标相似(P>0.05)；干预后毛冬青组与常规组比较，血脂指标、血液流变学指标改善更显著(P<0.05)。结论 毛冬青煎剂浸泡治疗糖尿病足的临床效果确切，可有效缩短伤口愈合时间，提升愈合质量，还可有效改善血脂水平和血液流变学指标，值得推广。
[关键词]毛冬青煎剂；浸泡；糖尿病足；临床效果
[中图分类号] R730.52 [文献标识码] A [文章编号] 1674-4721(2016)11(a)-0116-03
Clinical effect of Mao Dongqing decoction soaking in treating diabetic foot
LUO Qian HUANG Yun-ying LI Yong-mei LI Xing-shan
Clinical Pharmaceutics Room，the Fifth Hospital Affiliated to Guangzhou Medical University，Guangzhou 510700，China
[Abstract]Objective To explore the clinical effect of Mao Dongqing decoction soaking in treating diabetic foot.Methods 30 patients with diabetic foot from February 2014 to February 2016 in our hospital were selected and divided into routine group and Mao Dongqing group，according to random number table，15 cases in each groups.All patients were given hypoglycemic treatment.On the basis of that，patients in routine group were given moist burn ointment and patients in Mao Dongqing group were given Mao Dongqing decoction soaking.The treatment total effective rate of two groups were compared.Wound healing time and healing score of two groups were compared；before and after intervention，the difference of blood lipid index and blood rheology index were compared.Results The cure rate，effective rate and treatment total effective rate of diabetic foot in Mao Dongqing group were higher than that of routine group (P<0.01)；the wound healing time in Mao Dongqing group was shorter and the healing score was lower than that of routine group (P<0.05)；before intervention，the blood lipid index and blood rheology index in two groups were similar(P>0.05)；after intervention，the blood lipid index and blood rheology index in Mao Dongqing group were improved more than that of routine group (P<0.05).Conclusion Mao Dongqing decoction soaking in treating diabetic foot with definite clinical effects，which can effectively shorten the wound healing time，enhance healing quality，effectively improve blood lipid level and blood rheology index and it is worth to popularize.
[Key words]Mao Dongqing decoction；Soaking；Diabetic foot；Clinical effect
糖尿病足為糖尿病常见并发症，以足部形成溃疡为主要表现，经久不愈，可合并感染，临床致残率高，甚至需截瘫，或因感染加重而出现死亡，可危及患者生命安全。目前对糖尿病足仍无特效治疗方法，临床多在全身治疗基础上强化局部治疗，以改善临床症状，加速溃疡愈合[1-3]。本研究对毛冬青煎剂浸泡治疗糖尿病足的临床效果进行分析，现报道如下。 (罗骞 黄运英 李咏梅 黎行山)
[关键词]毛冬青煎剂；浸泡；糖尿病足；临床效果
[中图分类号] R730.52 [文献标识码] A [文章编号] 1674-4721(2016)11(a)-0116-03
Clinical effect of Mao Dongqing decoction soaking in treating diabetic foot
LUO Qian HUANG Yun-ying LI Yong-mei LI Xing-shan
Clinical Pharmaceutics Room，the Fifth Hospital Affiliated to Guangzhou Medical University，Guangzhou 510700，China
[Abstract]Objective To explore the clinical effect of Mao Dongqing decoction soaking in treating diabetic foot.Methods 30 patients with diabetic foot from February 2014 to February 2016 in our hospital were selected and divided into routine group and Mao Dongqing group，according to random number table，15 cases in each groups.All patients were given hypoglycemic treatment.On the basis of that，patients in routine group were given moist burn ointment and patients in Mao Dongqing group were given Mao Dongqing decoction soaking.The treatment total effective rate of two groups were compared.Wound healing time and healing score of two groups were compared；before and after intervention，the difference of blood lipid index and blood rheology index were compared.Results The cure rate，effective rate and treatment total effective rate of diabetic foot in Mao Dongqing group were higher than that of routine group (P<0.01)；the wound healing time in Mao Dongqing group was shorter and the healing score was lower than that of routine group (P<0.05)；before intervention，the blood lipid index and blood rheology index in two groups were similar(P>0.05)；after intervention，the blood lipid index and blood rheology index in Mao Dongqing group were improved more than that of routine group (P<0.05).Conclusion Mao Dongqing decoction soaking in treating diabetic foot with definite clinical effects，which can effectively shorten the wound healing time，enhance healing quality，effectively improve blood lipid level and blood rheology index and it is worth to popularize.
[Key words]Mao Dongqing decoction；Soaking；Diabetic foot；Clinical effect
糖尿病足為糖尿病常见并发症，以足部形成溃疡为主要表现，经久不愈，可合并感染，临床致残率高，甚至需截瘫，或因感染加重而出现死亡，可危及患者生命安全。目前对糖尿病足仍无特效治疗方法，临床多在全身治疗基础上强化局部治疗，以改善临床症状，加速溃疡愈合[1-3]。本研究对毛冬青煎剂浸泡治疗糖尿病足的临床效果进行分析，现报道如下。 (罗骞 黄运英 李咏梅 黎行山)