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目的:探讨中药活血通络剂足浴辅治早期糖尿病足的临床疗效及护理体会。方法:选取2014年10月至2016年10月在河北以岭医院内分泌科治疗的100例早期糖尿病足患者,随机分为观察组和对照组,每组50例。对照组采用常规内科治疗配合温水足浴及局部护理方法,观察组在对照组基础上采用中药活血通络剂足浴配合综合护理措施治疗。比较两组患者的治疗效果,足背动脉血管内径及血流速度、踝肱指数(ABI)、患肢运动神经传导速度(MNCV)和感觉传导速度(SNCV)以及护理质量。结果:观察组治疗总有效率为94%,显著高于对照组的80%(P<0.05)。观察组动脉血管内径、血流速度、ABI、MNCV、SNCV均较对照组明显改善(均P<0.05)。观察组遵医行为、饮食控制、生活习惯、自我护理能力等护理质量评分均明显高于对照组(均P<0.05)。结论:中药活血通络剂足浴辅治早期糖尿病足的临床疗效显著,配合综合护理,能够提高患者治疗依从性,改善足部症状,延缓疾病进展,具有积极的临床意义。
Objective: To investigate the clinical curative effect and nursing experience of traditional Chinese medicine Huoxue Tongluoji in foot bath on the treatment of early diabetic foot. Methods: From October 2014 to October 2016, 100 patients with early diabetic foot treated by Department of Endocrinology, Yiling Hospital, Hebei Province were randomly divided into observation group and control group, 50 cases in each group. The control group received conventional medical treatment combined with warm-water foot bath and local nursing method. The observation group was treated with traditional Chinese medicine Huoxue Tongluo agent foot bath combined with comprehensive nursing measures on the basis of the control group. The therapeutic effect, internal diameter of the dorsalis pedis artery, blood flow velocity, ankle brachial index (ABI), motor nerve conduction velocity (MNCV) and sensory conduction velocity (SNCV) were compared between the two groups. Results: The total effective rate in the observation group was 94%, significantly higher than that in the control group (80%, P <0.05). The arterial diameter, blood flow velocity, ABI, MNCV and SNCV in the observation group were significantly improved compared with the control group (all P <0.05). The scores of nursing quality such as compliance, diet control, living habits and self-care ability in the observation group were significantly higher than those in the control group (all P <0.05). Conclusion: The clinical curative effect of Huoxuetongluo decoction in foot bath on the treatment of early diabetic foot is significant. Combined with comprehensive nursing, it can improve patients’ compliance with treatment, improve foot symptoms and delay disease progression, which has a positive clinical significance.