赵建山

[摘要] 目的 以糖尿病足坏疽合并下肢神经病变患者为例，对中药泡足方联合西药治疗方法在其中的应用效果进行分析探讨。方法 该次选取该院收治的糖尿病足坏疽合并下肢神经病变患者一共88例，纳入时间分布在2018年1月—2019年1月，按随机的方式分成两个不同的组别，其中对照组给予常规西药方法治疗，观察组给予中药泡足方联合西药方法治疗，治疗结束后比较两组临床治疗效果。 结果 观察组治疗总有效率的95.45%与对照组的68.18%对比明显要高明显差异有统计学意义（χ2=11.283，P<0.05）。治疗后在糖尿病足Wagner分级严重程度方面观察组明显轻于对照组，两组之间的数据差异有统计学意义（P<0.05）。观察组治疗后MNCV为（43.00±2.48）m/s，明显高于对照组的（36.97±2.10）m/s，SNCV为（43.79±3.12）m/s，明显高于对照组的（37.96±3.11）m/s;两组之间的数据差异有统计学意义（P<0.05）。结论 糖尿病足坏疽合并下肢神经病变患者采取中药泡足方联合西药医治疗效显著，能够使患者的糖尿病足坏疽严重程度有效减轻，改善下肢神经病变，进而提高生活质量;所以，具备采纳及应用的价值。

[关键词] 糖尿病足;坏疽;下肢神经病变;中药泡足方;治疗效果

[Abstract] Objective To analyze the effects of the traditional Chinese medicine Paozufang combined with western medicine on diabetic foot gangrene combined with lower extremity neuropathy. Methods A total of 88 patients with diabetic foot gangrene and lower extremity neuropathy treated in our hospital were selected. The time of inclusion was distributed from January 2018 to January 2019. They were randomly divided into two different groups， of which the control group was given conventional western medicine. The observation group was given traditional Chinese medicine Paozufang combined with western medicine. After treatment， the clinical treatment effects of the two groups were compared. Results 1.The total effective rate of treatment in the observation group was 95.45% compared with 68.18% in the control group（χ2=11.283，P<0.05）. 2.The observation group was significantly lighter than the control group in the severity of diabetic foot Wagner classification after treatment， and the data between the two groups had significant differences（P<0.05）. 3.After treatment， the MNCV in the observation group was （43.00±2.48）m/s， which was significantly higher than that in the control group （36.97±2.10）m/s， and the SNCV was （43.79±3.12）m/s， which was significantly higher than that in the control group （37.96±3.11）m/s; there were statistically significant differences in data between the two groups（P<0.05）. Conclusion The treatment of diabetic foot gangrene combined with lower extremity neuropathy by using Chinese medicine Paozufang combined with western medicine has significant effects， which can effectively reduce the severity of diabetic foot gangrene， improve lower extremity neuropathy， and thereby improve the quality of life.

[Key words] Diabetic foot; Gangrene; Lower extremity neuropathy; Traditional Chinese medicine Paozufang; Therapeutic effect

糖尿病足，作為糖尿病患者的一种主要合并症，发病因素较多，包括：溃疡、感染及Charcot关节病等[1-2]。而对于糖尿病足坏疽则会严重影响糖尿病患者的生活质量，且此类患者通常合并有下肢神经病变，导致肢体正常功能受到很大程度的威胁。因此，加强医治干预非常关键。鉴于此，该课题以该院在2018年1月—2019年1月收治的糖尿病足坏疽合并下肢神经病变患者88例为例，对中药泡足方联合西药治疗方法的使用价值，涉及的研究成果报道如下。

1  资料与方法

1.1  一般资料

该次选取该院收治的糖尿病足坏疽合并下肢神经病变患者一共88例，均在知情的条件下签署相关治疗同意书，且均经医院医学伦理委员会审批通过，排除合并其他严重脏器疾病及严重精神障碍者。以随机的方式分为两个不同的组别，在观察组44例中，男性……