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目的:观察中药足浴配合紫外线照射辅助治疗早期糖尿病足(DF)的临床疗效。方法:选择临床确诊的早期DF 80例,随机分为观察组和对照组各40例;对照组给予注射胰岛素或口服降糖药等常规治疗,足部感染者选用敏感抗生素,及时清除足部溃疡坏死组织,加强局部创面护理;观察组在常规治疗基础上加用中药足浴配合紫外线照射治疗。两组均治疗4周后评定临床疗效。结果:观察组治疗后踝肱指数为0.93±0.27,显著高于对照组的0.87±0.28(P<0.05);观察组治疗后足背皮肤温度为(28.52±0.47)℃,显著高于对照组的(27.85±0.51)℃(P<0.05);两组治疗后尼龙丝感觉检查比较,差异不显著(P>0.05)。观察组总有效率为92.5%,显著高于对照组的80.0%(P<0.05)。结论:中药足浴配合紫外线照射辅助治疗早期DF的临床疗效较好。
Objective: To observe the clinical curative effect of traditional Chinese medicine foot bath combined with UV irradiation in the treatment of early diabetic foot (DF). Methods: Eighty cases of DF diagnosed early were randomly divided into observation group and control group, 40 cases in each group. The control group was given conventional therapy such as insulin injections or oral hypoglycemic agents. Sensitive antibiotics were used in foot infection to remove foot ulcers Necrotic tissue, to strengthen the local wound care; observation group on the basis of conventional treatment plus traditional Chinese medicine foot bath with ultraviolet radiation treatment. Two groups were treated 4 weeks after the assessment of clinical efficacy. Results: The ankle-brachial index of the observation group was 0.93 ± 0.27, which was significantly higher than that of the control group (0.87 ± 0.28, P <0.05). The skin temperature of the dorsal foot in the observation group was (28.52 ± 0.47) ℃, which was significantly higher than that of the control group (27.85 ± 0.51) ℃ (P <0.05). There was no significant difference between the two groups in the sensory examination of nylon filament after treatment (P> 0.05). The total effective rate was 92.5% in the observation group, which was significantly higher than 80.0% in the control group (P <0.05). Conclusion: Traditional Chinese medicine foot bath with UV irradiation adjuvant treatment of early DF clinical efficacy is better.