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目的:研究老年糖尿病足患者采用腔内血管成形术联合中药内服、沐足治疗的临床疗效及生活质量的影响。方法:选取96例老年糖尿病足患者,按数字表法分为对照组和观察组,每组48例患者。对照组患者仅用腔内血管成形术治疗,观察组患者则采用腔内血管成形术联合中药内服、沐足治疗。对比两组患者的治疗效果、临床症状指数及治疗前后生活质量。结果:观察组治疗后的总有效率(95.83%)明显高于对照组治疗后的总有效率(77.09%),差异具有统计学意义(P<0.05);观察组治疗后疼痛(1.41±0.58)分、冷感(1.52±0.63)分、溃疡(0.21±0.13)分、跛行(1.38±0.69)分明显低于对照组疼痛(2.96±0.84)分、冷感(3.33±0.59)分、溃疡(0.78±0.12)分、跛行(2.85±0.63)分,差异具有统计学意义(P<0.05);观察组治疗后的生活质量评分(49.57±13.54)分明显高于对照组(37.14±13.96)分,具有统计学意义(P<0.05)。结论:老年糖尿病足患者采用腔内血管成形术联合中药内服、沐足治疗的效果显著,可以有效的缓解患者下肢疼痛、冷感、溃疡、跛行等症状,加快患者康复,提高生活质量。
Objective: To study the clinical effects and quality of life of elderly patients with diabetic foot treated with endovascular angioplasty combined with oral administration of traditional Chinese medicine and foot bath. Methods: Ninety-six elderly patients with diabetic foot were selected and divided into control group and observation group according to digital table method, with 48 patients in each group. Patients in the control group were treated with endovascular angioplasty only. Patients in the observation group were treated with endovascular angioplasty combined with traditional Chinese medicine and foot bath. The therapeutic effect, clinical symptom index and quality of life before and after treatment were compared between the two groups. Results: The total effective rate (95.83%) in the observation group was significantly higher than that in the control group (77.09%), the difference was statistically significant (P <0.05); the pain rate in the observation group was 1.41 ± 0.58 (1.52 ± 0.63) points, ulcer (0.21 ± 0.13) points and limp (1.38 ± 0.69) points were significantly lower than the control group (2.96 ± 0.84 points), cold sensation (3.33 ± 0.59) points, ulcers (0.78 ± 0.12) and limp (2.85 ± 0.63), the difference was statistically significant (P <0.05). The quality of life score of the observation group after treatment was significantly higher (49.57 ± 13.54) than that of the control group (37.14 ± 13.96) Points, with statistical significance (P <0.05). Conclusion: The treatment of elderly patients with diabetic foot by endovascular angioplasty combined with oral administration of traditional Chinese medicine has a significant effect, which can effectively alleviate the symptoms such as lower extremity pain, cold sensation, ulcer and claudication in patients with exacerbations and speed up the recovery of patients and improve the quality of life.