CAJ | 학술논문

目的：观察龙血竭外敷及口服治疗糖尿病足溃疡的临床疗效。方法选择糖尿病足患者72例，随机分为两组。全身治疗均用短效胰岛素分别三餐前皮下注射，长效胰岛素注射液1次/d皮下注射控制血糖，用依帕司他、前列地尔、他汀、阿司匹林及清创、抗感染等治疗基础上，治疗组加用龙血竭胶囊口服及用龙血竭胶囊内容物适量外敷于患处。治疗前后评估患者临床变化。结果治疗前两组患者临床症状相似，治疗观察8w后两组患者临床症状均有所改善，治疗组总有效率86.5％，对照组总有效率62.9％，P<0.05。治疗组疗效明显优于对照组。结论龙血竭外敷及口服治疗糖尿病足溃疡具有促进疮面愈合的作用。
목적：관찰룡혈갈외부급구복치료당뇨병족궤양적림상료효。방법선택당뇨병족환자72례，수궤분위량조。전신치료균용단효이도소분별삼찬전피하주사，장효이도소주사액1차/d피하주사공제혈당，용의파사타、전렬지이、타정、아사필림급청창、항감염등치료기출상，치료조가용룡혈갈효낭구복급용룡혈갈효낭내용물괄량외부우환처。치료전후평고환자림상변화。결과치료전량조환자림상증상상사，치료관찰8w후량조환자림상증상균유소개선，치료조총유효솔86.5％，대조조총유효솔62.9％，P<0.05。치료조료효명현우우대조조。결론룡혈갈외부급구복치료당뇨병족궤양구유촉진창면유합적작용。
Objective To observe the clinical ef ect of Resina Draconis topical and oral treatment of diabeticfoot ulcer. Methods 72 cases of diabetic foot patients,randomly divided into two groups.Systemic treatment with short acting insulin were subcutaneous injections before meals,long-term neutrul insulin injection once dailysubcutaneous injection of glucose control,Epalrestat,Alprostadil,statins,aspirin and debridement,anti infection therapy,treatment group was added with Resina Draconis capsules oral and Resina Draconis capsule contentamount of topical in the af ected area.Evaluation of patients with clinical changes before and after treatment. Results Before treatment,two groups of patients withsimilar clinical symptoms were observed 8 weeks after thetreatment,clinical symptoms of two patients wereimproved,the total ef ective rate of treatment group 86.5%,control group,the total ef iciency of 62.9%,P<0.05.The curative ef ect of treatment group was bet er than the control group. Conclusion Resina Draconis topical and oral treatment of diabetic foot ulcers can promote woundhealing.