解毒洗剂及溃疡洗剂联合常规西药治疗糖尿病足临床研究
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R587.2

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Clinical Study on Jiedu Lotion and Kuiyang Lotion Combined with Routine Western Medicine for Diabetic Foot
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    摘要:

    目的:观察解毒洗剂及溃疡洗剂联合常规西药治疗糖尿病足溃疡创面的临床疗效。方法:选取糖尿病足溃疡患者80 例,按随机数字表法分为对照组和观察组各 40 例。2 组均进行创口处理、抗感染、降血糖等常规西药治疗,观察组在此基础上对创面红肿热痛者给予解毒洗剂、对创面红肿热痛不明显者给予溃疡洗剂治疗,2 组疗程均为 4 周。观察 2 组临床疗效;记录2 组肉芽组织首次出现、创面愈合时间,以及治疗前后溃疡面积的变化情况;采用生存质量特异性量表 (DSQL) 对治疗前后生活质量进行评价。结果:观察组总有效率为 90.00%,对照组为 70.00%,2 组比较,差异有统计学意义 (P<0.05)。治疗后, 2 组溃疡面积均较治疗前减少 (P<0.05),且观察组溃疡面积小于对照组 (P<0.05)。治疗后,观察组肉芽组织首次出现时间、创面愈合时间均短于对照组,差异均有统计学意义 (P<0.05)。治疗后,2 组心理精神、社会关系、生理功能、治疗情况等DSQL 各维度评分均较治疗前降低 (P<0.05),且观察组各维度评分均低于对照组 (P<0.05)。2 组均未出现明显不良反应。结 论:解毒洗剂及溃疡洗剂联合西药常规治疗糖尿病足溃疡,可促进肉芽组织生长,缩短创面愈合时间,提高患者生活质量,临床疗效显著。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Jiedu lotion and Kuiyang lotion combined with routine western medicine for wound of diabetic foot ulcers. Methods:A total of 80 cases of patients with diabetic foot ulcers were selected and divided into the control group and the observation group according to the random number table method,40 cases in each group. Both groups were given treatment of wound,anti-infection,down- regulation of blood glucose,and other routine western medicine treatments;the observation group was additionally given Jiedu lotion to patients with redness and swelling as well as heat pain of wound,and Kuiyang lotion to patients with insignificant redness and swelling as well as heat pain of wound. Both groups were treated for four weeks. The clinical effect was observed in the two groups. The first appearance time of granulation tissue and the healing time of wound were recorded in the two groups. The changes in wound area before and after treatment were recorded in the two groups. Diabetes-specific Quality of Life Scale(DSQL) was applied to evaluating quality of life before and after treatment. Results:The total effective rate was 90.00% in the observation group,and 70.00% in the control group,the difference being significant(P<0.05). After treatment,ulcer area in the two groups was decreased when compared with that before treatment(P<0.05), and the area in the observation group was smaller than that in the control group(P<0.05). After treatment,the first appearance time of granulation tissue and the healing time of wound in the observation group were shorter than those in the control group, differences being significant(P<0.05). After treatment, scores of psychology/mind,social relation,physical function,and influence of treatment of DSQL in the two groups were decreased when compared with those before treatment(P<0.05),and each score in the observation group was lower than that in the control group(P<0.05). No significant adverse reactions occurred in the two groups. Conclusion:In the treatment of diabetic foot ulcers,the therapy of Jiedu lotion and Kuiyang lotion combined with routine western medicine can promote growth of granulation tissue,shorten the healing time of wound,and improve quality of life with significant clinical effect.

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王平东.解毒洗剂及溃疡洗剂联合常规西药治疗糖尿病足临床研究[J].新中医,2021,53(7):85-88

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  • 在线发布日期: 2021-04-08
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