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[目的]观察通脉化瘀汤足浴联合西药治疗糖尿病疗效。[方法]使用随机平行对照方法,将100例门诊患者按就诊顺序编号随机分为两组。对照组50例控制血糖,控制饮食,应用改善微循环。治疗组50例中药足浴(桂枝、丹参、苏木、鸡血藤、黄芪各30g,党参25g,牛膝、川芎、木瓜各20g,地龙、透骨草各15g)。1剂/d,水煎3500mL,浸泡双足;水温38～41℃;30min/次,2次/d。西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效22例,有效25例,无效3例,总有效率94.00%。对照组显效3例,有效9例,无效38例,总有效率76.00%。治疗组疗效优于对照组(P<0.05)。[结论]通脉化瘀汤足浴联合西药治疗糖尿病效果显著,值得推广。
[Objective] To observe the therapeutic effect of Tongmai Huayu decoction combined with western medicine on diabetes. [Methods] Using randomized parallel control method, 100 cases of outpatients were randomly divided into two groups according to the order of their visits. Control group, 50 cases of blood sugar control diet, application of microcirculation. The treatment group of 50 cases of Chinese medicine foot bath (Guizhi, Salvia, Hematoxylin, Millettia, Astragalus 30g, Codonopsis 25g, Achyranthes, Chuanxiong, papaya each 20g, earthworm, Speranskia 15g). 1 dose / d, decoction 3500mL, soaking feet; water temperature 38 ~ 41 ℃; 30min / times, 2 times / d. Western medicine treatment with the control group. Continuous treatment 14d for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of 2 courses to determine the efficacy. [Result] In the treatment group, 22 cases were markedly effective, 25 cases were effective, 3 cases were ineffective, and the total effective rate was 94.00%. In the control group, 3 cases were markedly effective, 9 cases were effective, 38 cases were ineffective, and the total effective rate was 76.00%. The treatment group was better than the control group (P <0.05). [Conclusion] Tongmai Huayu Decoction combined with western medicine has significant effect on treating diabetes mellitus, which is worth promoting.