[1]王广宇,徐旭英,王伏声,等.活血回阳祛腐法治疗糖尿病足伴慢性骨髓炎93例*[J].西部中医药,2015,28(02):88-91.
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活血回阳祛腐法治疗糖尿病足伴慢性骨髓炎93例*
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
28
期数:
2015年02期
页码:
88-91
栏目:
出版日期:
2015-02-15

文章信息/Info

文章编号:
1004-6852(2015)02-0088-04
作者:
王广宇徐旭英王伏声丁毅康煜冬李勇王雨董雨
首都医科大学附属北京中医医院,北京100010
关键词:
骨髓炎糖尿病足生肌三法
分类号:
R681.2
摘要:
目的:探讨活血、回阳、祛腐外治生肌三法对糖尿病足伴慢性骨髓炎的治疗优势。方法:局部辨证,应用活血、回阳、祛腐外治生肌三法代表药物紫色疽疮膏、朱红膏、回阳生肌膏,短期(2~3周)抗菌素,有限手术,共治疗糖尿病足伴慢性骨髓炎93例。结果:仅局部应用中药29.00%(27/93),有限手术61.29%(57/93),膝上截肢6.45%(6/93),死亡3.22%(3/93),初次治疗后疮面愈合77.40%(72/93);全身应用抗菌素61.29%(57/93),未应用抗菌素38.7%(36/93),常见抗菌素敏感性较高的是亚胺培南(78.1%)、哌拉西林/他唑巴坦(70.6%)、莫西沙星(64.2%)、氨曲南(60.2%)、利奈唑脘(59.1%)、左旋氧氟沙星(56.7%)等。结论:局部辨证外用中药,配合有限手术,短期内应用抗菌素,可以作为糖尿病伴慢性骨髓炎有效的治疗方法,体现了中医药治疗优势。

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备注/Memo

备注/Memo:
*基金项目:北京市中医管理局中医外治法专项(编号WZF2012-13)。作者简介:王广宇(1971—),男,硕士学位,主治医师。研究方向:慢性溃疡的中医药治疗。
更新日期/Last Update: 2015-02-15