软化动脉胶囊联合加味匀气散颗粒治疗糖尿病足0 级临床研究
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R587.2

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银川市科技创新重大重点专项(2021-SF-002);宁夏青年科技人才托举工程项目(TJGC2019097)


Clinical Study on Combination Use of Softening Arterial Capsules and Modified Yunqi San in Granules for Grade 0 Diabetic Foot
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    摘要:

    目的:观察软化动脉胶囊联合加味匀气散颗粒治疗脾肾两虚兼痰瘀阻络型糖尿病足(DF) 0级的 临床疗效。方法:选取2022年6月—2024年4月就诊于银川市中医医院的脾肾两虚兼痰瘀阻络型DF 0级患 者60例,采用随机数字表法分为治疗组和对照组各30例。2组均予基础治疗,同时治疗组予口服软化动脉胶 囊联合加味匀气散颗粒熏蒸治疗,对照组予口服西洛他唑片联合甲钴胺片治疗。2组均治疗12周。观察2组 治疗前后下肢神经传导速度、足背动脉峰值血流速度、踝肱指数(ABI)、中医证候积分的变化情况,比较2组 中医证候疗效。结果:治疗后,2组双侧下肢腓总神经运动传导速度(MCV)、胫神经MCV、腓肠神经感觉传 导速度(SCV) 以及双侧足背动脉峰值血流速度均较治疗前增快,双侧ABI值均较治疗前增大,中医证候积分 均较治疗前降低,差异均有统计学意义(P<0.05)。上述指标治疗后组间比较,差异均无统计学意义(P> 0.05)。治疗组总有效率86.67% (26/30),对照组总有效率90.00% (27/30),组间比较,差异无统计学意 义(P>0.05)。结论:软化动脉胶囊联合加味匀气散颗粒能够有效改善脾肾两虚兼痰瘀阻络型DF 0级患者的 下肢神经和血管病变,疗效与常规西药治疗相当。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the combination use of Softening Arterial Capsules and modified Yunqi San in Granules on grade 0 diabetic foot (DF) of dual deficiency of spleen and kidney type complicated with phlegm-stasis blocking collaterals type. Methods: A total of 60 patients with grade 0 DF of dual deficiency of spleen and kidney type complicated with phlegm-stasis blocking collaterals type treated in Yinchuan Hospital of Traditional Chinese Medicine from June 2022 to April 2024 were selected and divided into the treatment group and the control group by the random number table method, with 30 cases in each group. Both groups were treated with basic therapy,the treatment group was additionally treated with oral administration of Softening Arterial Capsules combined with fumigation of modified Yunqi San in Granules, and the control group was additionally treated with oral administration of Cilostazol Tablets combined with Mecobalamin Tablets. Both groups were treated for 12 weeks. The changes of nerve conduction velocity of lower limbs, peak blood flow velocity of dorsal pedal artery, ankle brachial index (ABI) and traditional Chinese medicine (TCM) syndrome scores in the two groups were observed before and after treatment,and the curative effect on TCM syndromes was compared between the two groups. Results:After treatment, the motor conduction velocity (MCV) of bilateral common peroneal nerve, MCV of bilateral tibial nerve, sensory conduction velocity (SCV) of bilateral sural nerve and the peak blood flow velocity of bilateral dorsal pedal artery of lower extremities in the two groups were elevated when compared with those before treatment,the bilateral ABI was upregulated when compared with that before treatment,and the TCM syndrome scores were reduced when compared with those before treatment, with statistically significant differences (P<0.05). There were no statistically significant differences in the comparison of above indexes between the two groups after treatment (P>0.05). The total effective rate was 86.67% (26/30) in the treatment group and 90.00% (27/30) in the control group, no statistically significant differences were observed between the two grups (P>0.05). Conclusion: The combination use of Softening Arterial Capsules and modified Yunqi San in Granules can effectively improve the nerves of lower limbs and the vascular lesions in patients with grade 0 DF of dual deficiency of spleen and kidney type complicated with phlegm-stasis blocking collaterals type,with a curative effect comparable to that of conventional western medicine.

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张恒耀,纪少秀,魏彦宁,董慧杰,党翔,部翰明,汪燕燕,党毓起.软化动脉胶囊联合加味匀气散颗粒治疗糖尿病足0 级临床研究[J].新中医,2025,57(12):68-73

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  • 在线发布日期: 2025-06-26
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