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[摘要]
觀察股動脈溶栓治療糖尿病足的臨床療效。方法 將40例糖尿病足患者隨機(jī)分為治療組和對照組,每組20例,治療組患側(cè)股動脈穿刺并滴注尿激酶(2.5×105 U)配合氫溴酸山莨菪堿(10 mg)溶栓,對照組靜脈滴注前列腺素E1注射液(10 μg)。結(jié)果 治療組糖尿病足的有效率95%,對照組的有效率80%,兩組比較差異有顯著性(P<0.05)。足背動脈多普勒檢查顯示,治療組治療后血流速度改善顯著優(yōu)于對照組(P<0.05)。結(jié)論 動脈內(nèi)溶栓治療糖尿病足具有操作簡便、治療時間短、見效快以及治療費(fèi)用低的特點(diǎn),容易被老年患者接受,可以在老年病醫(yī)院推廣。
[Key word]
[Abstract]
To investigate the clinical experience of diabetic foot (DF) by intra-femoral artery thrombolysis. Methods Forty patients with DF were randomly divided into two groups. The treatment group (20 cases) were puncturing femoral artery in the lesion side of lower-extremity to drip urokinase thrombolysis (2.5×105 U) combined with anisodamine hydrobromide (10 mg), the control group (20 cases) were injected PGE1 Injection by vein. Results The effective rate of DF was 95% in the treatment group and 80% in the control group, the difference between the two groups was significant (P<0.05). The Doppler of arteria dorsalis pedis showed that the improvement of blood flow rate in the treatment group was significantly outweigh that in the control group (P<0.05).
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