中医导引疗法对糖尿病足患者康复效果的影响研究

A study on the impact of traditional Chinese medicine daoyin therapy on the rehabilitation outcomes of diabetic foot patients

关键词:  中医导引疗法  糖尿病足  脱疽  中医康复

Key words:  Daoyin therapy  diabetic foot  gangrene  traditional Chinese medicine rehabilitation

摘要:

[目的] 探究中医导引疗法对糖尿病足患者康复效果的影响。[方法] 研究纳入了57例糖尿病足患者，并随机分配至试验组和对照组。试验组在接受常规治疗的同时，每周进行5次导引术训练；而对照组则仅接受常规治疗。[结果] 干预结束后，通过比较两组的治疗效果发现，试验组的总有效率较之对照组更高，其差异具有统计学意义（P<0.05）。导引疗法训练之后试验组的趾肱指数（TBI）、足部温度、隐白穴、涌泉穴温度均高于对照组（P<0.05），视觉模拟量表（VAS）评分、溃疡面积显著低于对照组（P<0.01）。干预前后组内比较显示，试验组的TBI值、足部温度和隐白穴、涌泉穴、大敦穴温度较干预前提高（P<0.05）；VAS评分显著降低（P<0.01），溃疡面积显著减少（P<0.01）；对照组干预前后的TBI值、足部温度、隐白穴、大敦穴温度变化差异无统计学意义（P>0.05），涌泉穴温度降低（P<0.05），溃疡面积减少（P<0.05），糖化血红蛋白、VAS评分降低（P<0.01）。[结论] 临床疗效观察研究结果表明，导引术训练作为常规治疗的补充，在糖尿病足患者康复过程中具有显著的临床效益。因此，糖足导引术可作为糖尿病足综合管理策略的重要组成部分，促进溃疡康复。

Abstract:

[Objective] This study examines the impact of Daoyin therapy on the rehabilitation of diabetic foot patients. [Methods] A total of 57 patients with diabetic foot were randomly assigned to either an experimental group or a control group. The experimental group participated in Daoyin therapy sessions five times per week along with standard treatment，while the control group received only standard treatment. [Results] After the intervention，comparing the treatment outcomes of both groups showed that the experimental group had a significantly higher total effective rate than the control group，with the difference being statistically significant（P<0.05）. Following Daoyin therapy，the toe brachial index（TBI） values，foot temperatures，and temperatures at the Yinbai，Yongquan，The temperatures at the Yinbai，Yongquan，and Dadun acupoints in the experimental group were significantly higher than those in the control group（P<0.05）. Additionally，visual analogue scale（VAS） scores and ulcer areas were considerably lower in the experimental group compared to the control group（P<0.01）. Within the experimental group，pre- and post-intervention comparisons revealed substantial increases in TBI values，foot temperatures，and temperatures at the Yinbai，Yongquan，and Dadun acupoints（P<0.05）. Additionally，there was a notable reduction in VAS scores（P<0.01） and ulcer areas（P<0.01）. In contrast，the control group showed no statistically significant changes in TBI values，foot temperatures，and temperatures at the Yinbai and Dadun acupoints（P>0.05），while the temperature at the Yongquan acupoint decreased（P<0.05），and reductions in ulcer areas（P<0.05），glycated hemoglobin levels，and VAS scores were observed（P<0.01）. [Conclusion] Clinical observations suggest that Daoyin therapy，as a supplement to conventional treatment，provides significant clinical benefits in the rehabilitation of patients with diabetic foot. Therefore，Daoyin therapy can be considered an integral part of the comprehensive management strategy for diabetic foot，promoting ulcer healing.