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目的:观察中西医结合治疗下肢动脉硬化闭塞症临床疗效。方法:将124例下肢动脉硬化闭塞症患者(Ⅰ、Ⅱ期)随机分为治疗组64例、对照组60例。对照组以0.9%氯化钠100 mL加入凯时10μg,静脉滴注,1次/d,拜阿司匹林0.1 g,1次/d。治疗组在对照组的基础上内服自拟中药温经化痰汤、外用温经回阳散治疗。2组均以30天为1个疗程,治疗1个疗程后观察疗效。结果:治疗组总有效率为95.3%,疗效优于对照组的83.3%(P<0.05)。治疗组患肢临床症状和体征及踝肱指数有明显的改善,血脂明显降低,2组比较均有显著性差异(P<0.05)。结果:中西医结合内、外综合治疗下肢动脉硬化闭塞症能提高疗效。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of lower extremity arteriosclerosis obliterans. Methods: 124 cases of lower extremity arteriosclerosis obliterans (Ⅰ, Ⅱ) were randomly divided into treatment group (64 cases) and control group (60 cases). The control group with 0.9% sodium chloride 100 mL Kai time 10μg, intravenous infusion, 1 / d, thanks to aspirin 0.1 g, 1 / d. On the basis of the control group, the treatment group took orally self-made Wenjing Huatan Decoction, and the external use Wenjing Huiyang San treatment. 2 groups were 30 days for a course of treatment, treatment of a course of treatment to observe the effect. Results: The total effective rate was 95.3% in the treatment group and 83.3% in the control group (P <0.05). The clinical symptoms and signs of the limbs in the treatment group and the ankle-brachial index were significantly improved, while the blood lipids were significantly decreased. There was significant difference between the two groups (P <0.05). Results: The combination of TCM and Western medicine treatment of lower extremity arteriosclerosis obliterans can improve efficacy.