Advertisement

Journal of Acupuncture and Tuina Science

, Volume 16, Issue 6, pp 402–407 | Cite as

Clinical observation on tuina plus foot bath with Chinese medicine for diabetic foot in early stage

  • Cheng-hua Xu (许成华)
  • Yun Wu (吴云)
  • Nian-tang Yu (俞年塘)Email author
  • Jing Lu (鲁静)
Clinical Study
  • 15 Downloads

Abstract

Objective

To observe the clinical effect of tuina plus foot bath with Chinese medicine for patients with diabetic foot (DF) in early stage.

Methods

A total of 70 patients with early-stage DF were randomly allocated by the random number table into two groups, with 35 cases in each group. Patients in the control group received conventional medication, while patients in the observation group received tuina plus foot bath with Chinese medicine on the basis of conventional medication. The clinical efficacy was compared after 2 courses of treatment.

Results

After treatment, intra-group comparisons of ankle-brachial index (ABI) showed statistical significance in both groups (both P<0.05). The curative rate was 83.3% in the observation group, with the total effective rate of 96.7%, versus 29.4% and 76.5% in the control group, respectively, and the between-group comparisons showed statistical significance (both P<0.05), indicating a better effect in the observation group.

Conclusion

Tuina plus foot bath with Chinese medicine has a good therapeutic effect for DF patients in early stage.

Keywords

Tuina Massage Diabetes Mellitus Diabetes Complications Diabetic Foot Traditional Chinese Drugs Steaming Washing Therapy 

推拿联合中药泡足干预早期糖尿病足的临床观察

摘要

目的

观察推拿联合中药泡足治疗早期糖尿病足(DF)患者的疗效。

方法

将70例早期DF患者按随机数字表法随机分为两组, 每组35例。对照组采用常规药物治疗; 治疗组在对照组治疗基础上加用推拿和中药泡足治疗。治疗2个疗程后观察疗效。

结果

治疗后, 两组踝肱指数(ABI)与同组治疗前差异均有统计学意义(均P<0.05)。治疗组治疗后ABI与对照组差异具有统计学意义(P<0.05)。治疗组痊愈率为84.4%, 总有效率为96.9%; 对照组痊愈 率为27.3%, 总有效率为75.8%, 两组差异均有统计学意义(均P<0.05)。

结论

推拿联合中药泡足对早期DF具有良好的临床疗效。

关键词

推拿 按摩 糖尿病 糖尿病并发症 糖尿病足 中药 熏洗 

中图分类号

R244.1 

文献标志码

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Notes

Acknowledgments

This work was supported by 2017 Science and Technology Development Project of Hangzhou (2017 年杭 州市科技发展计划项目, No. 172160).

References

  1. [1]
    Yang W, Lu J, Weng J, Jia W, Ji L, Xiao J, Shan Z, Liu J, Tian H, Ji Q, Zhu D, Ge J, Lin L, Chen L, Guo X, Zhao Z, Li Q, Zhou Z, Shan G, He J; China National Diabetes and Metabolic Disorders Study Group. Prevalence of diabetes among men and women in China. N Eng J Med, 2010, 362(12): 1090–1101.CrossRefGoogle Scholar
  2. [2]
    Li SM. Diagnosis and Treatment of Diabetic Foot and Its Complication. Beijing: People’s Medical Publishing House, 2002: 466.Google Scholar
  3. [3]
    Shen L, Pei Y, Ba JM. Brief comments on diabetes guideline 2014 of American Diabetes Association. Zhongguo Yaowu Yingyong Yu Jiance, 2015, 12(1): 1–4.Google Scholar
  4. [4]
    Li SM. Protocol for the examination and diagnosis criteria for diabetic foot (gangrene). Zhongguo Tangniaobing Zazhi, 1996, 4(2): 126, 102.Google Scholar
  5. [5]
    Zhang HF. Practice of Diabetology. 2nd Edition. Beijing: People’s Medical Publishing House, 2002: 452.Google Scholar
  6. [6]
    Ministry of Health of the People’s Republic of China. Guiding Principles for Clinical Study of New Chinese Medicines. Beijing: China Medical Science Press, 2002: 233.Google Scholar
  7. [7]
    Chen ZM. Clinical analysis of grade 0 diabetic foot in the light of Bi-impediment syndrome. Zhongguo Shiyan Fangjixue Zazhi, 2011, 17(3): 220–221.Google Scholar
  8. [8]
    Wei YW, Liu GB. The pattern differentiation of diabetic foot. Liaoning Zhongyi Zazhi, 2011, 38(1): 27–29.Google Scholar
  9. [9]
    Yuan J. Application of nursing care in diabetic foot patients. Zhongwai Yixue Yanjiu, 2012, 10(26): 94–95.Google Scholar
  10. [10]
    Qi J, Liu XM, Zheng QY, Zhao CY, Tian CM. The intervention of acupoint moxibustion along meridian for early stage diabetic foot patients. Jiefangjun Yiyao Zazhi, 2013, 25(6): 63–64.Google Scholar
  11. [11]
    Hua Y, Zhong N, Li Y, Guo Q, Hu DH. Efficacy research of early diabetic foot in the intervention with herbal fumigation and manipulation. Shijie Zhongxiyi Jiehe Zazhi, 2013, 8(1): 50–51.Google Scholar
  12. [12]
    Li Y, Zhang XK. Clinical observation on 33 cases of early-stage diabetic foot patients treated with herbal steaming and washing plus infrared radiation. Shiyong Zhongyiyao Zazhi, 2014, 30(7): 653.Google Scholar
  13. [13]
    Niu XW, Hou BH, Wu M, Zhang W, Chen SP, Xu H, Shi B. Clinical observation on Luo Tong decoction for the treatment of early-stage diabetic foot. Zhongguo Zhongyiyao Xinxi Zazhi, 2012, 19(4): 74–75.Google Scholar
  14. [14]
    Wang J, Huang XM, Ji RF, Zheng QH. Effect of moxibusiton at Sanyinjiao (SP 6) on vascular diseases of patients with grade 0 diabetic foot. Huli Xuebao, 2012, 19(4): 70–72.Google Scholar
  15. [15]
    He XF, Su XS. Observation on nursing care with Chinese medicinal herbs for grade 0 diabetic foot. Zhongwai Yiliao, 2014, 34(6): 153–154.Google Scholar
  16. [16]
    Zeng LY, Li YT, Fan LJ, Li XL. Feasibility analysis of traditional Chinese medicine for prevention and treatment of diabetic foot. Qiqihar Yixueyuan Xuebao, 2016, 37(16): 2041–2043.Google Scholar
  17. [17]
    Wang M, Yu WX, Su XH, Yang ZH. Clinical application of preventive treatment for disease theory in prevention and treatment of diabetic foot. Zhongyi Linchuang Yanjiu, 2016, 8(20): 52–53.Google Scholar
  18. [18]
    Fang ZH. Discussion on Zhang Zhong-jing’s notion of preventive treatment of disease in the prevention and treatment of diabetic foot. Beifang Yaoxue, 2016, 13(6): 150–151.Google Scholar
  19. [19]
    Wang YZ, Zhong L, Wu ZJ, Liu XH, Dong YW, Fan XH. Efficacy study on pestle needle combined with Chinese herbal fumigation for cervical psondylosis. J Acupunct Tuina Sci, 2016, 14(4): 284–289.CrossRefGoogle Scholar
  20. [20]
    Li YW, Zhao DD, Yuan T. Therapeutic observation of warm needling plus chinese medicinal fumigation for rheumatoid arthritis. Shanghai Zhenjiu Zazhi, 2016, 35(7): 853–856.Google Scholar

Copyright information

© Shanghai Research Institute of Acupuncture and Meridian 2018

Authors and Affiliations

  • Cheng-hua Xu (许成华)
    • 1
  • Yun Wu (吴云)
    • 1
  • Nian-tang Yu (俞年塘)
    • 1
    Email author
  • Jing Lu (鲁静)
    • 2
  1. 1.Tonglu TCM HospitalHangzhouChina
  2. 2.Anhui University of Chinese MedicineHefeiChina

Personalised recommendations