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目的探讨中西医结合治疗二级以下足部缺血性坏疽的临床疗效。方法选取我院2013年2月-2016年2月收治的30例II级以下足部缺血性坏疽患者,其中男性患者17例,对30例患者采取不同的外科手术治疗方式,配合围手术期进行中医辨证论治。结果所有患者均完成本次研究,无死亡病例。30例患者临床治愈22例(73.33%),显著好转7例(23.33%),进步1例(3.33%),无效0例(0%)。结论对于二级以下的足部缺血性坏疽患者,通过手术治疗解决患处供血问题是患肢得以保存的关键,而在围手术期及术后针对不同患者的不同病情采取相应的中医辩证治疗是维持手术效果和促进创口愈合的重要手段。
Objective To investigate the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of ischemic gangrene below the second level. Methods Thirty patients with ischemic gangrene below level II were selected from February 2013 to February 2016 in our hospital, including 17 male patients and 30 surgical patients with different surgical procedures, in combination with perioperative period TCM diagnosis and treatment. Results All patients completed the study without any deaths. Among the 30 patients, 22 cases (73.33%) were clinically cured, 7 cases (23.33%) were significantly improved, 1 case (3.33%) improved and 0 (0%) ineffective. Conclusion For patients with ischemic gangrene less than two levels, surgical treatment to solve the problem of blood supply to the affected limb is the key to the preservation of limbs, and in the perioperative and postoperative different conditions for different patients to take appropriate dialectical treatment of Chinese medicine is Maintain the effect of surgery and promote wound healing an important means.