世界中医药

目的:观察中药扶正化瘀法熏洗治疗糖尿病下肢动脉血管病的临床疗效，并从中医理论和现代医学观点两个方面系统探讨中药扶正化瘀法治疗糖尿病下肢动脉血管病的作用机制。方法：选取糖尿病下肢动脉血管病患者80例，按随机数字表法随机分为治疗组40例和对照组40例。对照组进行糖尿病基础治疗(包括糖尿病知识教育、饮食治疗、运动治疗、口服降糖药物或皮下注射胰岛素)，治疗组在基础治疗上加用中药扶正化瘀法熏洗治疗糖尿病下肢动脉血管病，分别观察治疗前后踝-臂指数（ABI）的数值。结果：2组治疗后，治疗组踝动脉-肱动脉血压比值(ABI)水平有明显改善，且改善情况优于对照组（P<0.05)。结论：中药扶正化瘀法治疗糖尿病下肢动脉血管病疗效明显。

English Summary:

To observe the clinical efficacy of centralizer blood circulation fumigation in the treatment of diabetic lower extremity artery vascular disease，and to explore Chinese medicine centralizer blood circulation method，mechanism of action for the treatment of diabetic lower extremity artery vascular disease from both Traditional Chinese Medicine and modern medicine perspectives.Methods: Eighty patients with diabetic lower limb artery vascular disease were included and were randomly divided (withrandom number table method) into treatment group (40 cases) and control group (40 cases).The control received basic diabetes treatment (including diabetes knowledge education，diet therapy，exercise therapy，oral hypoglycemic drugs or subcutaneous insulin injections)，the treatment group received extra Chinese medicine prescriptions righting fumigation treatment of diabetic lower extremity artery vascular disease，and blood circulation treatment.Ankle - arm index (ABI) were measured respectively before and after treatment.Results: Ankle brachial artery blood pressure ratio (ABI) level significantly improved in the treatment group，and the level of improvement is better than that of thecontrol group (P<0.05).Conclusion: Traditional Chinese Medicine centralizer blood circulation method is effective in treating diabetic lower extremity artery vascular disease.

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