Clinical Study On Maibi Paste Combined With Taohong Siwu Decoction In Treating Lower Limb Arteriosclerosis Obliterans

Objective: Observethe clinical effect and safety of Maibitie combined with Taohong Siwu Decoction intreating patients with lower extremity arteriosclerosis obliterans(blood stasis syndrome),and analyze its mechanism of action.Methods:Sixty-three patients with arteriosclerosis obliterans(blood stasis syndrome)ofthe lower extremity who metthe inclusion criteria fromthe perivascular department of Luo Yang City Chinese Medicine Hospital from January 1,2019to January 31,2020 asthe research object.All patients were numbered accordingtothe order in whichthetrials were entered intothe group,and were divided into 32 observation groups and 31 control groups accordingtothe random numbertable method.The control group received conventionaltreatment + Taohong Siwu Decoction plus flavoredtreatment,whilethe observation group received conventionaltreatment + Taohong Siwu Decoction + Maibi paste application.Thetreatmenttime wastwo courses(14 days for one course).Observe and recordthe integral changes of clinical symptoms ofthe skintemperature,skin color,pain level,intermittent claudication distance,and ankle / brachial ratio beforetreatment,onthe 14th day oftreatment and onthe 28th day oftreatment.The blood flow velocity of superficial femoral artery,popliteal artery and dorsal plantar artery onthe 28th day oftreatment.SPSS 23.0 software was usedto perform statistical processing onthe changes of various indicators and analyzethe differences betweenthetwo groups.Results: The gender,age,clinical symptoms and scores of allthe signs of all patients beforetreatment weretested,andthe differences were not statistically significant(P>0.05),and were comparable.The differences in skintemperature,skin color,pain and intermittent claudication betweenthetwo groups before and aftertreatment were statistically signific ant(P<0.01);the skintemperature,skin color,and pain ofthe observation and control groups were between The scores onthe 14th day oftreatment weretested,andthe differences were statistically significant(P<0.05).The ABI and intermittent claudication points weretested onthe 14th day oftreatment,andthe differences were not statistically significant(P>0.05);thetwo groups aftertreatment The differences in skintemperature,skin color,pain level and intermittent claudication score were statistically significant(P<0.05).There was no statistically significant difference betweenthetwo groups after ABItreatment(P>0.05),butthe overall effect ofthe observation group was betterthanthe control group.The blood flow velocity ofthetwo groups of patients was not statistically significant by independentttest(P>0.05),but aftertreatment,the PSV ofthetwo groups of patients was improved,andthe effect ofthe observation group was betterthanthat ofthe control group.Aftertreatment,thetotal effective rate was 90% inthe observation group and 76.67% inthe control group.Aftertesting,the difference was statistically significant(P<0.05).Conclusion:1.Pulse Bi patch applicationtherapy can effectively improvethe patient’s skintemperature,skin color,pain,intermittent claudication distance and anklebrachial ratio;2.The application of pulsetherapy has a certain effect onthe improvement ofthe patient’s blood flow rate;3.Duringthetreatment period,thetraditional Chinese medicin e externaltreatment method should pay attentionto allergies andtake it asthe focus ofthe followup work.There are no obvious abnormalities inthe safety indicators.