CAJ | 학술논문

目的：观察足底反射区按摩联合股动脉注射药物对0级糖尿病足的临床疗效。方法将96例符合Wagner分级标准的0级糖尿病足患者随机分为对照组、治疗1组、治疗2组3组，各32例。对照组给予常规控制血糖，静脉滴注活血化瘀、扩张血管、营养神经药物治疗；治疗1组除上述治疗外加足底反射区按摩；治疗2组在治疗1组基础上股动脉注射利多卡因加罂粟碱。3组均10 d为1个疗程，2个疗程后统计疗效，观察治疗前后踝肱指数（ABI）、腓总神经运动传导速度（MNCV）、感觉传导速度（SNCV）。结果治疗2组与对照组、治疗1组总有效率比较差异均有统计学意义（P＜0．05），治疗2组疗效优于对照组、治疗1组；ABI测定显示治疗2组优于对照组、治疗1组，差异均有统计学意义（P＜0．05）；治疗后MNCV、SNCV，治疗1组、治疗2组与本组治疗前比较差异有统计学意义（P＜0．05），改善明显；治疗2组治疗后MNCV、SNCV与治疗1组治疗后差异具有统计学意义（ P＜0．05），改善优于治疗1组。结论足底反射区按摩联合股动脉注射药物能改善0级糖尿病足患者肢体麻木、刺痛、间歇性跛行、静息痛等症状，能够有效预防糖尿病足部溃疡。
목적：관찰족저반사구안마연합고동맥주사약물대0급당뇨병족적림상료효。방법장96례부합Wagner분급표준적0급당뇨병족환자수궤분위대조조、치료1조、치료2조3조，각32례。대조조급여상규공제혈당，정맥적주활혈화어、확장혈관、영양신경약물치료；치료1조제상술치료외가족저반사구안마；치료2조재치료1조기출상고동맥주사리다잡인가앵속감。3조균10 d위1개료정，2개료정후통계료효，관찰치료전후과굉지수（ABI）、비총신경운동전도속도（MNCV）、감각전도속도（SNCV）。결과치료2조여대조조、치료1조총유효솔비교차이균유통계학의의（P＜0．05），치료2조료효우우대조조、치료1조；ABI측정현시치료2조우우대조조、치료1조，차이균유통계학의의（P＜0．05）；치료후MNCV、SNCV，치료1조、치료2조여본조치료전비교차이유통계학의의（P＜0．05），개선명현；치료2조치료후MNCV、SNCV여치료1조치료후차이구유통계학의의（ P＜0．05），개선우우치료1조。결론족저반사구안마연합고동맥주사약물능개선0급당뇨병족환자지체마목、자통、간헐성파행、정식통등증상，능구유효예방당뇨병족부궤양。
Objective To observe the clinical effect of plantar reflex zone massage combined with femoral artery injection on 0 grade diabetic foot.Methods 96 patients with Wagner classification standard grade 0 diabetes were randomly divided into group A,B and C,32 cases in each group.The group A was given conventional glucose control,venous blood circulation,expansion of blood vessels,nerve nutrition therapy;group B,in addition to the above treatment,plus foot reflex zone massage;Group C femoral artery in group B based on the injection of lidocaine plus pa-paverine.The 3 groups were 10 d for 1 course,2 courses later the statistical effect and peroneal nerve motor conduction velocity ( MNCV) ,sensory conduction velocity ( SNCV) .Results There were statistically significant differences be-tween group C and group A,group B on the overall efficiency (P<0.05),curative effect of group C is better than that of group A and group B.MNCV,SNCV in group B and group C after treatment were improved as compared with those before treatment,the difference was statistically significant(P<0.05).The improvement of MNCV and SNCV after treatment in group C was superior to that of group B.Conclusion The plantar reflex zone massage combined with femoral artery injection can improve 0 grade diabetic foot patients limb numbness,tingling,intermittent claudication, rest pain and other symptoms,to be effective in the prevention of diabetic foot ulcer.