| 引用本文: |
晋溶辰,黄政德,张晋如,周秋红.糖尿病足溃疡高危体质的临床特征及对伤口愈合影响的研究[J].湖南中医药大学学报,2016,36(4):56-59[点击复制] |
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| 糖尿病足溃疡高危体质的临床特征及对伤口愈合影响的研究 |
| 晋溶辰,黄政德,张晋如,周秋红 |
| (湖南中医药大学, 湖南 长沙 410208;中南大学湘雅医院, 湖南 长沙 410008) |
| 摘要: |
| 目的 研究中医体质类型与糖尿病足溃疡（diabetic foot ulcers，DFU）的相关性，为糖尿病足溃疡的防治提供新思路。方法 随机收集住院2型糖尿病足溃疡患者73例，采用标准化的中医体质量表判定患者体质类型，并进行身高、体质量、血糖、血脂等指标的测量和观察记录伤口愈合速率、愈合时间、预后结局等情况。分析中医体质对2型糖尿病足溃疡伤口愈合的影响。结果 DFU患者以痰湿质、血瘀质和湿热质为多。其中血瘀质相对其他两种体质足溃疡程度较重，湿热质感染程度较重。湿热质的年龄最低，血瘀质相对年龄偏大。痰湿质的身体质量指数（BMI）最大，糖尿病病程最短（P<0.05）。血瘀质伤口愈合速率和时间较慢（P<0.05）。结论 痰湿质、血瘀质和湿热质是2型糖尿病足溃疡的高危体质，不同DFU患者临床特征不同，血瘀质的伤口愈合较慢，提示不同体质下DFU的预防及治疗应有侧重。 |
| 关键词: 糖尿病足 体质 溃疡 痰湿质 血瘀质 湿热质 |
| DOI：10.3969/j.issn.1674-070X.2016.04.015 |
| 投稿时间：2015-09-16 |
| 基金项目:湖南省教育厅一般项目（15C1029）；湖南省中医药管理局中医护理特色技术重点研究室开放基金项目（201402）。 |
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| Clinical Characteristics of Risk Constitution of Diabetic Foot Ulcer and its Effect on Wound Healing |
| JIN Rongchen,HUANG Zhengde,ZHANG Jinru,ZHOU Qiuhong |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Xiangya Hospital of Central South University, Changsha, Hunan 410008, China) |
| Abstract: |
| Objective To study the relationship between TCM constitution type and diabetic foot ulcers (DFU), and to provide new ideas for the prevention and treatment of diabetic foot ulcers. Methods 73 patients with type 2 diabetic foot ulcers were randomly collected, and the quality of the patients was determined by the standard of constitution in Chinese medicine questionnaire. method of TCM. The measurement and observation of height, weight, blood glucose, blood lipids, and other indexes were recorded. The influence of traditional Chinese medicine constitution on the wound healing of the foot ulcers in type 2 diabetes was analyzed. Results DFU patients mostly showed the symtoms with phlegm dampness, blood stasis and damp heat and quality. The blood stasis and blood stasis in the other two kinds of physical foot ulcers degree was more serious, and the degree of infection of the hot and humid quality is more important. The age of damp heat is the lowest, the blood stasis is relatively large. The BMI of phlegm dampness is the biggest, and the duration of diabetes is the shortest. The rate and time of wound healing with blood stasis were slow. Conclusion The phlegm dampness, blood stasis and damp heat quality are the high risk constitution of type 2 diabetic foot ulcers. The clinical characteristics of different DFU patients are different, and the wound healing with blood stasis is slow, which suggests that the prevention and treatment of DFU should be emphasized. |
| Key words: diabetic foot constitution traditional Chinese medicine ulcer phlegm-dampness constitution dampness-heat constitution |
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