1. 上海中医药大学国际教育学院,上海,201203
2. 上海中医药大学附属曙光医院中医周围血管科,上海,201203
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徐昊阳, 唐炜, 张磊. 糖足方对糖尿病足筋疽潜证微炎症状态影响的临床研究[J]. 上海中医药杂志, 2016,50(1):38-40.
XU Hao-yang, TANG Wei, ZHANG Lei. Effect of “Tangzu Formula” on latent syndrome of diabetic foot tendon gangrene[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(1):38-40.
目的:观察糖足方对糖尿病足筋疽潜证微炎症状态的影响。 方法:将66例患者随机分为治疗组和对照组,每组33例;两组均予相同的基础治疗措施,治疗组同时加服糖足方冲剂,对照组予安慰剂。两组疗程均为1个月,观察肿瘤坏死因子α(TNF-α)、超敏C反应蛋白(Hs-CRP)、白细胞介素6(IL-6)、白细胞介素2(IL-2)以及空腹血糖(FPG)、餐后2小时血糖(2 hPG)、糖化血红蛋白(HbA1C)的变化情况。 结果:①治疗前后组内比较,治疗组2 hPG指标差异有统计学意义(P<0.05),对照组各指标差异均无统计学意义(P>0.05);组间治疗后比较,治疗组2 hPG水平明显低于对照组(P<0.05)。②治疗前后组内比较,治疗组TNF-α、Hs-CRP、IL-6差异有统计学意义(P<0.05),对照组各指标差异均无统计学意义(P>0.05);组间治疗后比较,治疗组TNF-α、Hs-CRP、 IL-6水平明显低于对照组(P<0.05)。 结论:糖尿病足筋疽潜证存在微炎症改变,糖足方对潜证微炎症有一定的改善作用,可降低TNF-α、Hs-CRP、IL-6等微炎症指标,为糖尿病足的未病先防,以及溃疡愈合后的巩固治疗、防止复发提供了较好的临床治疗方案。
Objective:To observe the effect of “Tangzu Formula” on latent syndrome of diabetic foot tendon gangrene. Methods66 latent syndrome of diabetic foot tendon gangrene cases were randomly divided into treatment group and control group, 33 in each group. Based on the same basic treatment,the treatment group was treated with “Tangzu formula” for oral, and the control group was treated with placebo granule for oral. 1 month for each group. We observed the changes of TNF-α,Hs-CRP,IL-6,IL-2 and FPG,2hPG,HbA1C. Results:①Compared in each group before and after the treatment, there was statistic difference in 2 hPG in treatment(P<0.05) while no difference in each index in control group(P>0.05);② Compared in each group before and after the treatment, there was statistic difference in TNF-α, Hs-CRP, IL-6 in treatment group(P<0.05), while no difference in each index in control group(P>0.05);Compared between the two groups before and after the treatment, levels of TNF-α, Hs-CRP, IL-6 in treatment group was lower than that of control group(P<0.05). Conclusion:“Tangzu Formula” has some effect on latent syndrome of diabetic foot tendon gangrene, can decrease the index of TNF-α, Hs-CRP, IL-6, etc., which can provide better clinical treatment plan of preparation and maintenance treatment for diabetic foot tendon gangrene.
糖尿病足筋疽潜证微炎症糖足方
diabetic foot tendon gangrenelatent syndromemicroinflammatory“Tangzu Formula”
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