Retrospective Analysis Of 70 Cases Of Diabetic Foot Treated With Integrated Traditional Chinese And Western Medicin

Objective:To review and collect the clinical data of 70 patients with diabetes foot admitted to the vascular ulcer surgery ward of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January 2018 to December 2022,analyze the clinical efficacy of integrated traditional and western medicine in treating diabetes foot,and provide theoretical reference for the clinical treatment of diabetes foot with integrated traditional and western medicine.Materials and methods: The case data of patients with diabetes foot admitted to the vascular ulcer surgery ward of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January 2018 to December 2022 were reviewed.The medical records that meet the diagnostic criteria of traditional Chinese medicine and western medicine,the inclusion criteria and exclusion criteria of this study were counted.The statistical contents include the patient’s gender,age,diabetes history,accompanying peripheral neuropathy,and the location of the wound,The improvement of clinical symptoms,white blood cell count(WBC),neutrophil percentage(NEUT%),C-reactive protein(CRP),and procalcitonin(PCT)before and after treatment were compared through the treatment of traditional Chinese medicine oral decoction,external Chinese medicine steam or foot bath fumigation,and external Chinese medicine plaster combined with endovascular reconstruction,abscess incision and drainage,skin ulcer debridement,skin grafting,and vacuum sealing drainage(VSD)The area change of the wound was compared and analyzed by making a scoring table for the local symptoms of the wound.The SPSS27.0 statistical software was used for t-test analysis.According to the research results,the clinical treatment methods and efficacy of diabetes foot were analyzed and discussed.Results: Among 70 patients with diabetes foot,8 were cured,46 were significantly effective,12 were effective,and 4 were ineffective.The total effective rate was 94.28%.Wagner’s grade I effective rate is 100%,grade II effective rate is 100%,grade III effective rate is 94.11%,and grade IV effective rate is 81.8%.The wound area was 21.23 ± 9.76cm2 at admission and 8.63 ± 5.97cm2 after 14 days of treatment,with a significant difference(p=0.000.05).The white blood cell count(WBC)at admission was 14.16 ± 3.39 10 ^ 9/L,and it was 8.85 ± 1.02 10 ^ 9/L after 14 days of treatment,with a significant difference(p=0.000.05);The percentage of neutrophils(NEUT%)at admission was 76.74 ± 4.03%,and71.19 ± 2.56% after 14 days of treatment,with a significant difference(p=0.000.05);C-reactive protein(CRP)was 88.30 ± 48.33 mg/L at admission and 27.90 ± 14.99 mg/L after14 days of treatment,with a significant difference(p=0.000.05);The procalcitonin(PCT)was2.42 ± 1.67ng/ml at admission and 0.85 ± 0.64ng/ml after 14 days of treatment,with a significant difference(p=0.000.05).The score of wound symptoms was significantly lower than that at admission.Conclusion:1.The treatment of DF with integrated Chinese and western medicine can effectively control infection,control blood sugar level,and improve the clinical symptoms of fever,swelling,pain,and numbness.2.The treatment of DF with integrated traditional Chinese and western medicine can effectively reduce the wound area,promote granulation growth,and accelerate ulcer wound healing.3.It shows that the treatment of DF with integrated traditional Chinese and western medicine is satisfactory and can effectively improve the treatment efficiency.