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目的分析在0级糖尿病足患者的临床治疗中,中医药茶并足部穴位按摩的治疗效果。方法 48例0级糖尿病足患者,随机分为单一组与合并组,各24例。两组患者均接受基础性治疗,单一组患者在此基础上服用甲钴胺分散片治疗,合并组患者在基础治疗基础上接受足部穴位按摩并中医药茶治疗。比较两组患者的治疗效果、足部的疼痛及麻木感评分。结果单一组治疗显效8例,改善7例,无效9例,总有效率为62.5%;合并组治疗显效13例,改善10例,无效1例,总有效率为95.8%。合并组治疗总有效率高于单一组,差异具有统计学意义(P<0.05)。治疗后,合并组患者麻木与疼痛感评分分别为(3.1±0.7)、(3.2±0.9)分,均低于单一组的(7.3±1.2)、(6.4±1.1)分,差异具有统计学意义(P<0.05)。结论在0级糖尿病足患者的临床治疗中,将足部穴位按摩与中医药茶结合应用的效果较好,值得临床推广。
Objective To analyze the therapeutic effect of acupoint massage of tea and foot in the clinical treatment of patients with level 0 diabetic foot. Methods Forty-eight patients with level 0 diabetic foot were randomly divided into single group and combined group, 24 cases in each group. Patients in both groups received basic treatment. Patients in a single group received mecobalamin dispersible tablets on this basis. Patients in the combined group received foot acupressure and herbal tea treatment on the basis of basic treatment. The treatment effects, foot pain and numbness scores were compared between the two groups. Results In the single treatment group, 8 cases were improved, 7 cases improved, 9 cases ineffective, and the total effective rate was 62.5%. In the combined group, 13 cases were markedly improved, 10 cases improved and 1 case ineffective. The total effective rate was 95.8%. The total effective rate of the combined group was higher than that of the single group, the difference was statistically significant (P <0.05). After treatment, numbness and pain scores in the combined group were (3.1 ± 0.7) and (3.2 ± 0.9) points, respectively, which were significantly lower than those in the single group (7.3 ± 1.2 and 6.4 ± 1.1), respectively (P <0.05). Conclusion In the clinical treatment of patients with grade 0 diabetic foot, the acupuncture point massage combined with traditional Chinese medicine tea is better and worthy of clinical promotion.