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目的:观察中药综合治疗老年糖尿病足的下肢血管病变的影响。方法:149例老年糖尿病足患者随机分为观察组101例和对照组48例,观察组辨证分为气虚血瘀组52例和痰瘀闭阻组49例。治疗前后观察患者下肢血管狭窄程度、血管内经、血流速度、踝/肱指数、各项指标。结果:经中药内服加外洗综合治疗后,患者血管病变明显好转,统计学处理明显优于对照组。结论:中药内服加外洗综合治疗糖尿病足病人,能降低血管狭窄程度、增加血管内径、提高血流速度和踝/肱指数,对糖尿病足有显著疗效。
Objective: To observe the effects of traditional Chinese medicine (TCM) on lower extremity vascular diseases in elderly diabetic foot. Methods: One hundred and ninety-nine elderly patients with diabetic foot were randomly divided into observation group (n = 101) and control group (n = 48). The observation group was divided into 52 cases of qi deficiency and blood stasis group and 49 cases of phlegm and blood stasis obstruction group. Before and after treatment of patients with lower extremity vascular stenosis, intravascular, blood flow velocity, ankle / brachial index, the indicators. Results: The Chinese medicine plus external wash combined treatment, the patient’s vascular lesions improved significantly, the statistical analysis was significantly better than the control group. Conclusion: Chinese medicine plus external wash combined treatment of diabetic foot patients, can reduce the degree of vascular stenosis, increase the diameter of blood vessels, increase blood flow velocity and ankle / brachial index, a significant effect on diabetic foot.