Retrospective Analysis Of 62 Cases Of Ecthyma Treated With Integrated Traditional Chinese And Western Medicin

Objective: This paper reviews and collates the clinical characteristics and treatment protocols of in-patient with ecthyma,objectively evaluates the efficacy of combined Chinese and Western medicine in the treatment of ecthyma,and provides a reference basis for individualised treatment of ecthyma patients.Material and method: According to the case screening criteria,62 patients with ecthyma were hospitalized in the Vascular Sore surgery department in the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January 1,2019 to June 30,2022.Data on sex,age,TCM syndrome type,tongue skin,pulse pattern,smoking and drinking history,history of ecthyma,active period of ulcer,examination and treatment program were collected.The area of the wound,depth of the wound,pus(shape and colour,volume of pus),decay(necrotic tissue),muscle(new granulation),periwound(skin temperature and colour),lower limb oedema and pain were counted and scored in a point scale.Telephone follow-up visits were recorded to record the time to healing of the wounds.Statistical methods were applied to analyse the efficacy of the disease and to summarise and write a paper.Results: In the 62 patients with ecthyma,the syndrome of dampness-heat was 45.1%,and the syndrome of Qi deficiency and blood stasis was 54.9%.All the patients took Chinese medicine decoction and intravenous active drugs orally.When wound rotting flesh is not removed,traditional Chinese medicine Youtiao ointment,Yixiao ointment,elephant skin powder should be applied externally,and hospital decoction for Qingre Lishi Jiedu apozem or Yiqi huoxue shengji apozem should be used to fumigation-washing therapy;In the cases where rotting flesh had been removed and new flesh was exposed,64.5% of the patients received wound negative pressure treatment and 17.7% underwent autologous skin transplantation.According to venous etiology,32.3% of the patients received superficial vein surgery of different surgical types,and 3.2% received deep vein interventional therapy.The original wound area of the patient was 15.37±4.20cm2,and the area after treatment was 5.89±4.17cm2.The total effective rate of the disease was 96.7%.The total score of TCM syndrome before treatment was 25.00±3.40 points,and the total score of TCM syndrome after treatment was 10.01±4.98 points.The total effective rate of TCM syndrome reached93.5%.Thirty patients were followed up after discharge,and 2 patients had recurrent ulcers 1year later.Conclusion:1.For damp-heat infiltration evidence of ecthyma,oral Ermiao Wan combined with Wushen Tang plus intravenous active drugs are used.In the acute stage,Youtiao ointment is applied externally plus Qingre Lishi Jiedu apozem for wishing,and after the redness and swelling have subsided,the ointment is replaced with a Yixiao ointment applied externally,which is highly effective.2.For ecthyma with Qi deficiency and Blood stasis.Oral Buyang Huanwu Decoction and Simiao decoction plus intravenous active drugs,Yixiao ointment plus elephant skin powder,and fumigation of Yiqi Huoxue Shengji decoction showed significant effect.3.TCM external treatment accelerates the preparation of wound bed;In granulation growth stage,negative pressure sealing drainage was used to shorten the healing time,and autologous skin transplantation could effectively close the wound surface;Venous surgery can effectively reduce the recurrence rate of ulcers.