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目的:观察温经通络、益气养血法方剂治疗糖尿病足的临床疗效。方法:将68例气血两虚兼血瘀型糖尿病足患者随机分为观察组与对照组各34例,2组患者均给予糖尿病基础治疗,对照组予注射用前列腺素E_1治疗,观察组给予温经通络、益气养血法方剂治疗,比较2组患者的临床效果。结果:观察组总有效率高于对照组(P<0.05)。治疗后,2组腓总神经传导速度均较治疗前加快(P<0.05),观察组腓总神经传导速度值高于对照组(P<0.05)。2组足背动脉平均速度、血流量、内径值均较治疗前改善(P<0.05);观察组各指标的改善均优于对照组(P<0.05)。结论:采用温经通络、益气养血法方剂治疗气血两虚兼血瘀型糖尿病足患者疗效显著,可有效改善临床症状。
Objective: To observe the clinical efficacy of Wenjing Tongluo and Yiqi Yangxue Recipe in treating diabetic foot. Methods: Sixty-eight patients with QI deficiency and blood stasis type diabetic foot were randomly divided into observation group and control group, with 34 cases in each group. Both groups were given basic diabetes mellitus, the control group received prostaglandin E_1 injection and the observation group was given Wenjing Tongluo, Yiqi Yangxue Fang treatment, the clinical effects of two groups of patients were compared. Results: The total effective rate in observation group was higher than that in control group (P <0.05). After treatment, the common peroneal nerve conduction velocity in both groups was faster than that before treatment (P <0.05), and the common peroneal nerve conduction velocity in the observation group was higher than that in the control group (P <0.05). The mean velocity, blood flow and internal diameter of dorsalis pedis artery in 2 groups were all improved compared with that before treatment (P <0.05). The improvement of each index in observation group was better than that in control group (P <0.05). Conclusion: The treatment of Wenjing Tongluo and Yiqi Yangxue Recipe in the treatment of diabetic foot with qi and blood deficiency and blood stasis syndrome has significant curative effect, which can effectively improve the clinical symptoms.