| 郭赛珊,梁晓春,殷凤华,王香定,郭赛琪.糖尿病患者小腿血流量测定及活血化瘀法治疗对其影响的观察[J].,1990,(11):664-666,644 |
| 糖尿病患者小腿血流量测定及活血化瘀法治疗对其影响的观察 |
| Determination of Blood Flow of the Lower Leg in Patients with Diabetes Mellitus and the Effects of Treatment with the Principle of Vitalizing Blood and Solubilizing Thrombus |
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| 中文关键词: 小腿血流量 糖尿病足病 血瘀证气阴两虚 血瘀证阴阳两虚 |
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| 中文摘要: |
| 采用国产 XLJ-2型双导血流计电阻抗容积描记法,测定50例非胰岛素依赖性糖尿病患者小腿血流量(肢痛组肢体数85个,足病组肢体嫩15个)。结果两组患者小腿血流量均较健康人明显减少,P<0.01～0.001;足病组减少尤为显著,与肢痛组比较也有明显差异,P<0.05。22例用活血化瘀法治疗后,肢痛组(肢体数32个)小腿血流量明显增加,P<0.001;足病组(肢体数10个)无明显变化,说明早期治疗的重要性。用本法测定小腿血流量,有助于早期发现糖尿病患者下肢供血的异常变化,应用活血化瘀治疗可以使之得到改善。 |
| 英文摘要: |
| This paper reports the determination of blood flow of the lower leg in 50 cases of non-insulin dependent diabetes mellitus(NIDDM)using an XLJ-2 Bipolar Rheoencephalometry Impedance Rheogram.In patients with leg pain(but without obvious vascular pathological changes,85 legs)the blood flow was decreased.In male patients the blood flow of the left leg(9 legs)was 3.28±0.47 ml/ 100ml-tissue.rain(±S),while that in the right leg(11 legs)was 3.88±0.80;in females,the blood flow of the loft leg(32 legs)was 2.72±0.8;while that in the right leg(33 legs)was 2.94±0.66.These figurea were significantly(P<0.01～0.001)lower than those obtained from normals.In diabetic feet (15 painful legs)the decrease of blood flow of the lower leg was more apparent:it averaged 1.87 ±0.79 for the left leg(7 legs)and 2.66±0.87 for the right leg(5 legs)in male patients.The values were significantly different when compared with those of normals(P<0.001)or with those of the diabetic patients with leg pain(P<0.05).These results demonstrated that determination of the blood flow of the lower leg of diabetic patients might aid in early discovery of the abnonnai changes of blood supply to the lower legs in diabetes mellitus and judge the degree of isehemia.Of the 50 cases of diabetics 32 were Qi(气)-Yin(阴)deficiency with blood stasis while the remaining 18 cases were deficiency of both Yin and Yang(阴)with blood spasis.Twenty-two cases were treated with the method of vitalizing blood.Among the patients with leg pain,12 cases with deficiency of both Qi and Yin were treated with the method of aiding Qi,cultivating Yin and vitalizing blood.Four cases of leg pain and 6 cases of diabetic feet with deficiency of both Yin and Yang in addition to blood spasis were treated with the method of tonifying Kidney and vitalizing blood.After a course of treatment for 3～4 months,the blood flow of the lower leg was significantly increased(P<0.001)in the group with leg pain(32 legs);no significant change cf blood flow was observed in the group with diabetic feet(10 legs),thus indicating the importance of early treatment. |
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