透骨通脉方浴足治疗下肢动脉硬化闭塞症临床研究
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R543.5;R244.9

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温州市医药卫生科研项目(2019ZB007)


Clinical Study on Foot Bath of Tougu Tongmai Prescription for Arteriosclerosis Obliterans of Lower Extremity
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    摘要:

    目的:观察透骨通脉方浴足治疗下肢动脉硬化闭塞症的临床疗效。方法:选取63 例下肢动脉硬化闭塞症患者,按随机数字表法分为对照组31 例和治疗组32 例。对照组在控制血糖、血脂、血压等治疗基础上,予以饮食及运动指导、足部护理等常规护理,治疗组在对照组基础上给予透骨通脉方浴足治疗。2 组均连续治疗14 d。比较2 组临床疗效及治疗前后症状评分、踝肱指数,记录不良反应发生率。结果:治疗组总有效率为93.75%,高于对照组的74.19% (P<0.05)。治疗后,2 组皮肤温度感、皮肤色泽、疼痛、间歇性跛行距离、间歇性跛行缓解时间评分及总分均较治疗前降低(P<0.05);治疗组上述症状评分及总分均低于对照组(P<0.05)。治疗后,2 组踝肱指数均较治疗前升高(P<0.05),治疗组踝肱指数高于对照组(P<0.05)。2 组均未发生不良反应。结论:透骨通脉方浴足治疗下肢动脉硬化闭塞症,可有效改善患者的临床症状,提高临床疗效。

    Abstract:

    Abstract: Objective: To observe the clinical effect of foot bath of Tougu Tongmai prescription on arteriosclerosis obliterans of lower extremity. Methods:A total of 63 patients with arteriosclerosis obliterans of lower extremity were selected and divided into the control group(31 cases) and the treatment group(32 cases) according to random number table method. The control group was given routine nursing measures like diet and exercise guidance and foot nursing based on controlling blood sugar, blood lipids and blood pressure. The treatment group was additionally given foot bath of Tougu Tongmai prescription based on the treatment of the control group. Both groups received treatment for 14 days. The clinical effect, symptom scores and ankle- brachial index before and after treatment were compared between the two groups, and the incidence of adverse reactions was recorded. Results:The total effective rate was 93.75% in the treatment group,higher than that of 74.19% in the control group(P<0.05). After treatment,scores of skin temperature sensation,skin color,pain, intermittent claudication distance, intermittent claudication remission time and the total score were all decreased when compared with those before treatment in the two groups(P<0.05). The scores of the above symptoms and the total score in the treatment group were lower than those in the control group(P<0.05). After treatment,the levels of ankle-brachial index in both groups were increased when compared with those before treatment(P<0.05),and the one in the treatment group was higher than that in the control group(P<0.05). No adverse reactions occurred in the two groups. Conclusion:Foot bath of Tougu Tongmai prescription for arteriosclerosis obliterans of lower extremity,can effectively improve the clinical symptoms and clinical effect.

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颜聪颖,汪海敏,叶海东.透骨通脉方浴足治疗下肢动脉硬化闭塞症临床研究[J].新中医,2021,53(6):148-151

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  • 在线发布日期: 2021-03-25
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