中药泡足联合足部按摩对糖尿病足足部症状及经皮氧分压改变的效果观察

    Effect of foot soak with traditional Chinese medicine and foot massage on diabetic foot and changes of transcutaneous oxygen pressure

    • 摘要: 目的:探讨中药泡足和中药泡足联合足部按摩对糖尿病足(diabetic foot,DF)足部症状及经皮氧分压(TcPO2)改变的效果。方法:90例DF患者随机分为对照组、泡足组和泡足按摩组,各30例。对照组予常规治疗,泡足组在对照组基础上加中药泡足,泡足按摩组在泡足组基础上加足部按摩。疗程均为14 d。干预前1天和疗程结束后第1天分别进行足部症状评分,测量并记录每组患者足部的TcPO2,疗程结束后进行疗效评定。结果:3组干预后足部症状评分均较干预前明显降低(P<0.01),泡足组和泡足按摩组干预后足部TcPO2均较干预前显著升高(P<0.01)。对照组足部TcPO2干预前后差异无统计学意义(P>0.05)。干预后3组间足部症状评分、足部疗效、足部TcPO2差异均有统计学意义(P<0.0.5~P<0.01)。结论:中药泡足和中药泡足联合足部按摩都能改善DF患者足部症状和TcPO2,中药泡足联合足部按摩对DF患者足部症状及TcPO2的改善效果更好。

       

      Abstract: Objective:To explore the effect of foot soak with traditional Chinese medicine and foot massage on diabetic foot(DF) and changes of transcutaneous oxygen pressure(TcPO2 ). Methods:Ninety DF patients were divided into control group(n=30), foot soak group(n=30.and foot soak-massage group(n=30). The control group were given conventional treatment, the foot soak group received foot soak with Chinese medicinal herb in addition to the conventional therapy and the foot soak-massage group were applied foot massage in addition to foot soak. The therapy lasted for a total of 14 days. The patients' foot symptom scores and foot TcPO2 were recorded and measured the day before intervention and the first day after intervention. The efficacy was evaluated after the therapy. Results:After intervention, the score of the foot symptoms decreased significantly in all the three groups(P<0.01). The foot TcPO2 of the foot soak group and foot soak plus massage group improved significantly compared to that before intervention(P<0.01). The foot TcPO2 of the control group had no statistically significant difference before and after intervention(P>0.05). The foot symptoms, curative effect and foot TcPO2 of the three groups had statistic significance after intervention(P<0.05 to P<0.01). Conclusions:Either Foot soak with traditional Chinese medicine alone or combined with foot massage can improve the symptoms and TcPO2 of DF. The combination therapy is more effective than foot soak alone in improving the symptoms and TcPO2 of DF.

       

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