| Objective:1.From the vein of dampnessstasis resistancedisease pathogenesisto study the root causes ofecthyma,correct the excessive heat and rotting flesh as the main pathogenesis of the inappropriate understanding in clinical.Distinguish venous ulcers and arterial ulcers.2.Use herbal fumigation and washout with"Yujixingpiyanxiji"plus compression and medicated bandaging therapy for the treatment of patients with ulcer to observe the changes of ulcers before and after treatment.Confirming the effectiveness of the therapy.3.To further explore the operation of the local fumigation and compression therapy treatment of ecthyma.Methods:Inthisstudy,weusedrandomized and controlled study method.Fifty cases of refractory ulcers were divided into two groups:treatment group(25cases)and control group(25cases).The formerwas treated by fumigation and washout with self-prepared "Yujixingpiyanxiji",and meanwhile treated with bandaging;the latter was treated with conventional cleaning dressing.The total course of treatment are 8 weeks.During the trialperiod,thewound area,color,fluid volume,fresh granulation tissue,the degree of pain and the traffic enous bypass will be observed and recorded.Results:1.Comparison wound healing rate between the treatment group and the controlgroup:treatment group:9 patients healed,markedly effective in 6 cases,effective in 8 cases,ineffective in 2 cases.Totalefficiencyis 92%.Control group:3patients healed,markedly effective in 5 cases,effective in 11 cases,ineffective in 6 cases.Total efficiency is 76%.Use SPASS20.0 statistical software,with a significient defficience between the two groups(P<0.05).Herbal fumigation and washout with Yujixingpiyanxiji plus bandaging has a better effect on ecthyma.2.Defficient time wound’s integral situation:Before treatment,2th week,4th week,8th week,the scores of treatment group are 18.84±3.64,14.00±5.62,9.40±6.57,6.24±6.35.Controlgroupare 20.04±3.90,17.04±5.09,13.24±5.71 11.12±5.29.There is no significant difference in the wound area between the two groups before and after treatment(P>0.05).At the 4th week of treatment,the infusion points of the treatment group and the control group were decreased,but the treatment group was superior to the control group,the test was statistically significant(P<0.05).At the 8th week,the two groups of wound points continued to decrease,but the control group changed little,the treatment group score continued to decrease,still better than the control group,the test was statistically significant(P<0.05).3.Traffic venous regurgitation:Before treatment,the score of treatment group is 2.28±0.458,the control group is 2.24±0.453.Differencesbetween the two groups were small,no statistically significant(P>0.05).After treatment for 8 weeks,the treatment group had a venous reflux of 2.12±0.665,,better than before,but not obvious.But there is no change control group.It’s indicated that conventional dressing on the flow of venous wall reflux without improvement But the two groups of data is no statistically significant through nonparametric experience. |