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目的对比生肌愈皮膏自拟方与常规中西药治疗糖尿病足的临床疗效。方法将200例糖尿病足患者随机分为研究组和对照组各100例。研究组患者采用生肌愈皮膏自拟方进行治疗,对照组患者常规中西药联合常规换药加胰岛素、黄芪、丹参外用方法进行治疗。所有患者均控制饮食并采用胰岛素控制血糖、静脉注射抗生素和前列地尔,2组患者均治疗3周,换药后均采用微波照射0.5h,观察并记录2组患者治疗前后溃疡的愈合情况。结果研究组Ⅱ级患者治疗显效率高于对照组;Ⅲ级患者治疗有效率高于对照组,无效率低于对照组;Ⅳ级患者治疗有效率高于对照组,无效率低于对照组(P<0.05)。结论生肌愈皮膏自拟方较常规中西药治疗糖尿病足有较好的临床效果,适合临床广泛推广及应用。
Objective To compare the curative effect of myogenic ointment preparation and conventional Chinese and western medicine on diabetic foot. Methods 200 cases of diabetic foot were randomly divided into study group and control group of 100 cases. Patients in the study group were treated by self-designed prescription of myogenin and ointment. Patients in the control group were treated with traditional Chinese and western medicine in combination with conventional dressing plus insulin, astragalus and salvia miltiorrhizae. All patients were controlled diet and insulin control of blood glucose, intravenous antibiotics and alprostadil, two groups of patients were treated for 3 weeks, after treatment were used microwave irradiation 0.5h, observed and recorded two groups of patients before and after treatment of ulcer healing. Results The effective rate of treatment in grade Ⅱ patients in study group was higher than that in control group; the treatment efficiency in grade Ⅲ patients was higher than that in control group, the inefficiency rate was lower than that in control group; the treatment efficiency in grade Ⅳ patients was higher than that in control group, P <0.05). Conclusions Self-mycoplasma plaster self-prepared than traditional Chinese and Western medicine treatment of diabetic foot has a good clinical effect, suitable for clinical promotion and application.