祛风除湿止痛方超声导入治疗糖尿病足溃疡疗效观察
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R587.2,R259

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丽水市科技计划项目(2021ZDYF15)


Clinical Study on Treatment of Diabetic Foot Ulcer with Ultrasound-Induced Qufeng Chushi Zhitong Prescription
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    摘要:

    目的:观察祛风除湿止痛方超声导入治疗糖尿病足溃疡(DFU) 的疗效。方法:选取2022年7月— 2024年12月丽水市人民医院就诊的82例DFU患者,按治疗方案差异分为对照组及药透组各41例。对照组采用 常规现代医学治疗及护理干预,药透组在对照组基础上予以祛风除湿止痛方超声导入干预。比较2组干预前后 足部症状改善情况(肉芽组织出现时间、愈合时间、溃疡面积)、血管新生指标[血管生成因子(VEGF)、内 皮抑素(ES)、碱性成纤维生长因子(bFGF)]、炎症状态[苷酸结合寡聚化结构域样受体蛋白3 (NLRP3) 炎症小体、细胞间黏附因子1(ICAM-1)、白细胞介素-18(IL-18)]、糖尿病足溃疡愈合量表(DMIST) 评分 及疼痛视觉模拟评分法(VAS) 评分的变化。结果:干预后,药透组足部肉芽组织出现时间早于对照组(P< 0.05),愈合时间短于对照组(P<0.05),溃疡面积小于对照组(P<0.05)。干预后,2组VEGF、bFGF水平均 较干预前上升(P<0.05),ES水平均较干预前下降(P<0.05);药透组VEGF、bFGF水平均高于对照组(P< 0.05),ES水平低于对照组(P<0.05)。干预后,2组NLRP3炎症小体、ICAM-1、IL-18水平均较干预前下降 (P<0.05),药透组NLRP3炎症小体、ICAM-1、IL-18水平均低于对照组(P<0.05)。干预后,2组DMIST、 VAS评分均较干预前下降(P<0.05),药透组DMIST、VAS评分均低于对照组(P<0.05)。结论:祛风除湿止痛方 超声导入对DFU效果显著,能改善炎症状态,促进血管生成及足部溃疡愈合。

    Abstract:

    Abstract:Objective:To observe the efficacy of ultrasound-induced Qufeng Chushi Zhitong Prescription in the treatment of diabetic foot ulcer(DFU). Methods: A total of 82 patients with DFU who visited Lishui City People's Hospital from July 2022 to December 2024 were selected and divided into a control group and a drug permeation group, with 41 cases in each group, based on the differences in treatment plans. The control group received conventional modern medical treatment and nursing interventions, while the drug permeation group was given ultrasound-induced Qufeng Chushi Zhitong Prescription based on the control group. The improvement of foot symptoms (time to granulation tissue appearance,healing time,and ulcer area),angiogenesis indicators [vascular endothelial growth factor(VEGF), endostatin (ES), and basic fibroblast growth factor (bFGF)], inflammatory status [NLRP3 inflammasome, intercellular adhesion molecule 1(ICAM-1),and interleukin-18(IL-18)],Diabetic Foot Ulcer Healing Scale(DMIST) scores, and Visual Analogue Scale(VAS)scores for pain were compared between the two groups before and after intervention. Results: After intervention, the drug permeation group had an earlier appearance of granulation tissue (P<0.05),shorter healing time(P<0.05),and smaller ulcer area(P<0.05)compared to the control group. After intervention,the levels of VEGF and bFGF were increased(P<0.05)and the level of ES was decreased(P<0.05)in both groups compared to before intervention. The drug permeation group had higher levels of VEGF and bFGF(P< 0.05) and lower levels of ES(P<0.05) compared to the control group. After intervention, the levels of NLRP3 inflammasome,ICAM-1,and IL-18 were decreased in both groups compared to before intervention(P<0.05),with the drug permeation group having lower levels of these indicators compared to the control group (P < 0.05). After intervention, the DMIST and VAS scores were decreased (P<0.05) in both groups compared to before intervention, with the drug permeation group having lower scores compared to the control group (P<0.05). Conclusion: Ultrasound-induced Qufeng Chushi Zhitong Prescription is significantly effective in treating DFU, improving the inflammatory status,promoting angiogenesis,and facilitating the healing of foot ulcers.

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何梦蓉,刘森军,刘青.祛风除湿止痛方超声导入治疗糖尿病足溃疡疗效观察[J].新中医,2025,57(17):143-147

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  • 在线发布日期: 2025-09-05
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