1.黑龙江中医药大学研究生院,哈尔滨 150040
2.黑龙江省中医药大学附属第一医院周围血管病科,哈尔滨150040
张航,男,25岁,硕士研究生。研究方向:中西医结合治疗周围血管疾病。
高杰,E-mail:13904800073@163.com
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张航,陈妙,周华斌,等.润肌丹油治疗糖尿病足溃疡的临床疗效观察[J].北京中医药,2022,41(2):119-124.
ZHANG Hang,CHEN Miao,ZHOU Hua-bin,et al.Clinical observation of Runjidan Oil in treating diabetic foot ulcer[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(02):119-124.
张航,陈妙,周华斌,等.润肌丹油治疗糖尿病足溃疡的临床疗效观察[J].北京中医药,2022,41(2):119-124. DOI: 10.16025/j.1674-1307.2022.02.003.
ZHANG Hang,CHEN Miao,ZHOU Hua-bin,et al.Clinical observation of Runjidan Oil in treating diabetic foot ulcer[J]. Beijing Journal of Traditional Chinese Medicine,2022,41(02):119-124. DOI: 10.16025/j.1674-1307.2022.02.003.
目的,2,观察润肌丹油治疗糖尿病足溃疡的临床疗效。,方法,2,选取糖尿病足溃疡患者60例,将其随机分为观察组与对照组各30例,经基础治疗、常规外科清创后,观察组给予润肌丹油纱条换药,对照组给予康复新液纱条换药,2组均以7 d为1个疗程,共治疗4个疗程。比较2组治疗前后中医证候积分、创面面积、踝肱指数以及外周血WBC、CRP水平变化,观察临床总有效率。,结果,2,观察组临床总有效率为86.67 %,对照组为73.33 %,差异有统计学意义(,P,<,0.05)。自治疗第7天开始,2组中医证候积分、创面面积均较治疗前降低;观察组降低更显著,治疗后各时间点均低于对照组,治疗28 d后创面面积缩小率高于对照组,差异均有统计学意义(,P,<,0.05)。自治疗第7天开始,2组外周血WBC、CRP水平均较治疗前降低,观察组降低更明显,自治疗第21天开始,2组差异有统计学意义(,P,<,0.05)。治疗前后2组踝肱指数差异均无统计学意义(,P,>,0.05),治疗28 d后2组踝肱指数均较治疗前降低,差异有统计学意义(,P,<,0.05)。,结论,2,润肌丹油治疗糖尿病足溃疡能够加速创面愈合,有良好的临床疗效。
Objective,2,To observe the clinical efficacy of Runjidan Oil in the treatment of diabetic foot ulcer.,Methods,2,A Total of 60 cases of diabetic foot ulcer patients were selected and randomly divided into observation group and control group (30 cases each). After basic treatment and conventional surgical debridement, the observation group was treated with Runjidan Oil gauze for dressing, while the control group was treated with Kangfuxin Liquid gauze for dressing. The two groups were treated with 7 days as one course of treatment, and a total of 4 courses were observed. The changes of TCM syndrome score, wound area, ankle-brachial index, WBC and CRP values in peripheral blood of two groups before and after treatment were compared, and the total clinical effective rate was observed.,Results,2,The total clinical effective rate was 86.67% in the observation group and 73.33% in the control group, the difference was statistically significant (,P,<,0.05).Since the 7th day of treatment, TCM syndrome score and wound area in both groups were lowered than before treatment.The reduction in the observation group was more significant than that in the control group at all time points after treatment, and the wound area reduction rate was higher than that in the control group at 28 days after treatment, the differences were all statistically significant (,P,<,0.05). Since the 7th day of treatment, the levels of WBC and CRP in peripheral blood of both groups were lower than before, and the decrease was more obvious in the observation group. Since the 21st day of treatment, the difference between the two groups was statistically significant (,P,<,0.05).There was no significant difference in ankle-brachial index between the two groups before and after treatment (,P,>,0.05), the ankle-brachial index in both groups were decreased after 28 days of treatment, and the difference was statistically significant (,P,<,0.05).,Conclusion,2,Runjidan Oil when used in the treatment of diabetic foot ulcer can accelerate the healing of the wound and has a good clinical effect.
糖尿病足溃疡润肌丹油
Diabetic footulcerRunjidan Oil
谷涌泉.中国糖尿病足诊治指南[J].中国临床医生杂志,2020,48(1):19-27.
WUKICH DK,RASPOVIC KM.Assessing health-related quality of life in patients with diabetic foot disease:why is it important and how can we improve the 2017 Roger E.pecoraro award lecture[J].Dia Care,2018,41(3):391-397.
张月,李友山,庞鹤,等.益气活血解毒方联合蚕食法治疗糖尿病足30例疗效观察[J].北京中医药,2020,39(6):539-542.
夏联恒,张珈源,王佳鑫,等.李令根应用中药壳聚糖复合药膜治疗下肢慢性溃疡经验[J].北京中医药,2019,38(11):1096-1098.
中国医疗保健国际交流促进会糖尿病足病分会.中国糖尿病足诊治指南[J].中华医学杂志,2017,4(4):251-258.
国家中医药管理局.中医外科病证诊断疗效标准[M].南京:南京大学出版社,1994:53.
中华医学会糖尿病学分会.中国2型糖尿病防治指南(2017年版)[J].中华糖尿病杂志,2018,10(1):4-67.
李云平,矫浩然,王刚,等.关于糖尿病足溃疡中医证候疗效评价体系探讨[J].天津中医药,2012,29(3):251-253.
郑筱萸.中药新药临床研究指导原则:试行[M].北京:中国医药科技出版社,2002.
赵钢.周围血管病基础与临床[M].北京:人民军医出版社,2015.
李小平,曾召绵,王彬.黄芪、血竭对血栓和烧烫伤的协同作用研究[J].保健医学研究与实践,2014,11(1):6-8.
李晓康,王舒,于杨,等.皮肤创伤修复研究进展[J].中国中西医结合皮肤性病学杂志,2016,15(1):62-65.
金丽霞,金丽军,栾仲秋,等.大黄的化学成分和药理研究进展[J].中医药信息,2020,37(1):121-126.
王朴.生地黄的现代药理研究与临床应用[J].中国中医药现代远程教育,2008,6(8):986.
王宝君,杨樱.不同产地当归的鉴别及现代药理的研究[J].中国医药科学,2014,4(22):80-81,101.
王蕊,刘军,杨大宇,等.白芷化学成分与药理作用研究进展[J].中医药信息,2020,37(2):123-128.
孟凡佳,刘磊,张文娓,等.儿茶的研究进展[J].科学技术创新,2020(3):45-46.
高杰,张雅,徐英杰,等.蓬子菜浸出液湿敷对PICC所致静脉炎预防作用的临床观察[J].中医药学报,2018,46(1):116-117.
张凡,王绾江,景慧玲.紫草的现代药理研究及皮肤科中的应用[J].中医药导报,2020,26(9):168-172.
肖正华,周倩,余绮玲,等.糖尿病足溃疡渗出液中IL-1β动态变化及黄芪提取液外敷治疗[J].广州医学院学报,2008,36(6):11-14.
陈军霞,邱碧菡,潘林梅,等.血竭的现代研究[J].现代中药研究与实践,2011,25(3):81-84.
苑海刚,赵钢,贾振,等.蓬子菜水溶液治疗糖尿病性大鼠慢性皮肤溃疡的效果及其最佳治疗浓度研究[J].中国医药导报,2019,16(31):26-29.
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