中西医结合治疗糖尿病并发急性蜂窝组织炎24例.doc

中西医结合治疗糖尿病并发急性蜂窝组织炎24例[摘要] 目的 观察加味四妙勇安汤治疗糖尿病并发急性蜂窝组织炎的疗效。 方法 将在我科住院的48例糖尿病并发急性蜂窝组织炎患者随机分为对照组和观察组，每组各24例。两组均给予基础病、常规换药及抗生素治疗。观察组在对照组治疗基础上给予加味四妙勇安汤治疗。 结果 两组总有效率比较差异有统计学意义（P ＜ 0.05）；观察组治愈时间及有效时间分别为（12.33±0.94）d及（8.57±1.50）d，均少于对照组，两组比较差异有统计学意义（P ＜ 0.05）。 结论 使用加味四妙勇安汤治疗糖尿病并发急性蜂窝组织炎，能加快减轻患部肿痛，缩短感染治疗时间，疗效显著。 [关键词] 加味四妙勇安汤；糖尿病；急性蜂窝组织炎；中西医结合 [中图分类号] R587.1；R259 [文献标识码] A [文章编号] 1673-7210（2012）01（c）-0094-02 Integrative treatment of Chinese and Western medicine in the treatment of 24 patients with diabetes combined with acute cellulitis LI Yiqun LI Yicong ZHONG Qiteng Department of Chinese Medicine, the Central People’s Hospital of Huizhou City, Guangdong Province, Huizhou 516001, China [Abstract] Objective To observed the efficacy of the Decoction of Four Well-matched Potent Herbs for Stopping Groaning in the treatment of diabetes combined with acute cellulitis. Methods 48 patients hospitalized in our department were selected and randomly divided into control group and observation group with 24 patients for each group. Two groups were given foundational disease, conventional medication and antibiotics treatment. The observation group was given the Decoction of Four Well-matched Potent Herbs for Stopping Groaning based on the treatment of the control group. Results Comparison of the two groups showed statistical significance (P ＜ 0.05); but the healing time and improvement time of the observation group were (12.33±0.94) d and (8.57±1.50) d respectively, both of which were less than those of the control group (P 注：与对照组比较，*P ＜ 0.05 2.2 两组治愈时间与有效时间比较 观察组的治愈时间及有效时间分别为（12.33±0.94）d及（8.57±1.50）d，均少于对照组，两组比较差异有统计学意义（P ＜ 0.05）。见表2。 表2 两组治愈时间与有效时间比较（x±s，d） 注：与对照组比较，△P ＜ 0.05 3 讨论 据文献报道，糖尿病并发化脓性细菌感染率为8.2%~20.0%，主要是金黄色葡萄球菌感染，引起疖、痈、蜂窝组织炎等[3]。糖尿病易发感染且较难控制，同时感染又可使糖尿病病情加重，形成恶性循环。因此，控制血糖和感染，是治疗该病的基本方法。应尽早使用胰岛素，以使血糖水平达标并尽量根据细菌培养和在药敏试验的指导下选用抗生素。 蜂窝组织炎属中医“发”的范畴，中医认为本病是由外感风、燥、湿、火毒邪壅结，或过食膏梁厚味，致湿热火毒风生，或外来损害，肌肤破损，毒邪乘隙内侵，致营卫不和，气血壅滞，经络壅阻而成