彭 玮 苟春雁邹 瑜 刘 佳 指导 张嗣兰（重庆市中医院，重庆 400021）

中医外治疗法治疗动脉硬化性闭塞症坏死期临床观察*

彭 玮 苟春雁△邹 瑜 刘 佳 指导 张嗣兰
（重庆市中医院，重庆 400021）

目的 观察中医外治疗法治疗动脉硬化性闭塞症坏死期的临床疗效。方法 将患者62例按随机数字表法分为治疗组和对照组，各31例。两组患者均予控制基础疾病、改善微循环和抗感染治疗。治疗组在此基础上加用中医外治疗法外换药，对照组应用常规外科换药。比较两组坏疽伤面2个月后的临床疗效及愈合时间。结果 治疗组总有效率为90.33%，明显高于对照组的67.72%；治疗组患肢皮温、皮色、静息痛记分、踝肱指数（ABI）均较对照组有显著改善；痊愈患者伤面愈合时间治疗组明显低于对照组（P＜0.05）。结论 中医外治法治疗动脉硬化性闭塞症坏死期疗效显著，缩短了坏疽伤面的愈合时间。

动脉硬化性闭塞症 坏死期 中医外治疗法

【Abstract】Objective：To observe the effect of Traditional Chinese medicine external treatment on arteriosclerosis obliterans in putrescence stage with.Methods：62 cases were randomly divided into 2 groups：experimental group and control group，between whom the clinical effects would be compared.Both groups were provided with control the basic diseases，improve microcirculation and anti-infection therapy.The experimental group was applied with traditional Chinese medicine external treatment，while the other was applied with the regional treatment of surgery.Arteriosclerosis Obliterans in Putrescence Stage healing time and clinical curative effect after 2 month two groups were compared.Results：The clinical total effective rate of experimental group（90.33%）was higher than that of control group（67.72%），and healing time shorter than that of control group.Treatment group limb skin temperature，though，rest pain score，ankle brachial index （ABI）compared with control group improved significantly.There was statistically significant difference between two groups （all P＜0.05）.Conclusion：Traditional Chinese Medicine external treatment of arteriosclerosis obliterans in putrescence stage has the remarkable curative effect of shortening the healing time.

【Key words】Arteriosclerosis Obliterans；Putrescence Stage；Traditional Chinese medicine external treatment

动脉硬化性闭塞症（ASO）是全身性动脉粥样硬化在肢体局部的表现。随着现今人口老龄化的日益进展，饮食结构的失衡，该病在中老年人群里的发病率急剧增加，成为临床上高发的周围血管疾病［1］。动脉硬化性闭塞症由于动脉血管中的粥样硬化斑块不断扩大，引起动脉管腔狭窄甚至闭塞，其不稳定的粥样斑块、高脂血症及血液的高凝状态等不利因素容易继发血栓形成或栓子脱落，引起肢体远端缺血，发生肢端的坏疽、溃疡，伴发剧烈疼痛，给患者造成巨大的痛苦，截肢致残率高，严重时会危及患者的生命［2］。……