中文摘要：

目的：探讨中药活血通络剂足浴辅治早期糖尿病足的临床疗效及护理体会。方法：选取2014年10月至2016年10月在河北以岭医院内分泌科治疗的100例早期糖尿病足患者,随机分为观察组和对照组,每组50例。对照组采用常规内科治疗配合温水足浴及局部护理方法,观察组在对照组基础上采用中药活血通络剂足浴配合综合护理措施治疗。比较两组患者的治疗效果,足背动脉血管内径及血流速度、踝肱指数（ABI）、患肢运动神经传导速度（MNCV）和感觉传导速度（SNCV）以及护理质量。结果：观察组治疗总有效率为94%,显著高于对照组的80%（P〈0.05）。观察组动脉血管内径、血流速度、ABI、MNCV、SNCV均较对照组明显改善（均P〈0.05）。观察组遵医行为、饮食控制、生活习惯、自我护理能力等护理质量评分均明显高于对照组（均P〈0.05）。结论：中药活血通络剂足浴辅治早期糖尿病足的临床疗效显著,配合综合护理,能够提高患者治疗依从性,改善足部症状,延缓疾病进展,具有积极的临床意义。

英文摘要：

Objective： To explore the traditional Chinese medicine Huoxue Tongluo prescription （HTP） on early diabetic foot and summarize the nursing care experience. Methods. 100 early diabetic foot patients treated in our hospital from October 2014 to October 2016 were selected and randomly divided into an observation group and a control group. The patients in the control group received routine medical treatment combined with warm water foot bath and partial nursing care, while those in the observation group were treated as the control group with addition of HTP foot bath and comprehensive nursing care. The clinical effect,artery diameter and blood flow of dorsum pedis, Ankle brachial pressure index （ABI）, motor nerve conduction velocity （MNCV） of affected extremity, sensory conduction velocity （SNCV） and quality of nursing care were compared. Results： The response rate was 94% in the observation group,and was 80% in the control group,the difference was statistically significant between the two groups （ P 〈0.05）. The artery diameter, blood flow, ABI, MNCV and SNCV in the observation group were significantly improved compared with the control group （ P 〈0. 05）. The scores of nursing quality including medical compliance, diet control ,living habits, self-care ability were significantly higher in the observation group than those in the control group （P 〈 0. 05 ）. Conclusion： Traditional Chinese medicine HTP foot bath was effective in treating early diabetic foot, and combined with the comprehensive nursing care could elevate treatment compliance,improve diabetic neuropathy symptoms in foot and postpone the progression of disease.