Themethod Of Pus-expelling By Enriching Qi Treat For Diabetes Foot Moist Gangrene Clinical Curative Effects

Objective:Through the clinical observation yiqi through pus treatments for diabetes foot moist gangrene in promoting the wound healing aspects of diseased limb, improving TCM symptoms and signs, improve ankle brachial and toes brachial index than than the effect of TCM clinical treatment and explore its the train of thought and method. In the foundation treatment at the same time, the application of internal and external use proprietary clinical experience of gather together to enhance mutual combination of limb coagulant rate, lower limb amputation rate of the purpose of diabetic foot, but also for the clinical treatment of moist gangrene provide safe and effective treatment.Methods:A randomized, controlled trial methods, will meet the standard 70 cases qualified participants randomly divided into treatment group 35 examples and the control group 35 examples, the treatment group and control group is assigned a foundation treatment and surgical debridement treatment group, plus Chinese medicine (taken within four wonderful scattered through pus and scattered to add and subtract, hope to immerse topical since washed two outside. Before and after treatment were observed in the main two groups patients moist gangrene wound healing, TCM symptoms and signs, double lower limbs points than an ankle brachial (ABI), toe than (TBI) brachial index improvement. The test data of meet normal distribution, using t-test and X2 inspection; Don't conform to the normal distribution by rank and inspection of statistical analysis.Results:1, application yiqi through pus treatments for diabetes foot moist gangrene and blood stasis, wet poison accumulate resistance syndrome has good curative effect. Wound effect assessment results showed that p< 0.01, clinical cure rate of treatment group is 18% compared to just 0, total significant efficiency of treatment group is 100%,28.57% in the placebo group, the treatment group in promoting wound healing was better than control; on TCM effect assessment results showed signs and symptoms (p< 0.05), and the treatment group clinical cure rate of 8%, while the control group only 0, treatment group total effectiveness to 100%, and the control group, the treatment group just 20 percent in improving the symptoms has good effect.2, diabetes foot moist gangrene had an ankle brachial index side showed: treatment group than before and after the treatment ankle brachial than to compare, toe humerus (p< 0.01), the results showed there were significant differences, the treatment effect is obvious; The control group than before and after the treatment itself an ankle brachial> 0.05 compared results showed that p, no statistical significance, can think no improvement, toe than to comparison results show humeral> p> 0.05 slightly 0.01, improvement, but the effect is not obvious; Two groups of ankle brachial ratio, before and after the treatment group than toe humerus, before treatment is compared between> 0.05, comparative p after treatment with comparable, two groups than comparison results show toe humerus (p< 0.01), but think the curative effect of treatment group was better than control, after treatment, the two groups of ankle brachial than comparison results show 0.05> p> 0.01, can think in improving ankle brachial index in treatment group than in control group were different, but is no obvious difference.Conclusion:Yiqi through pus treatments for diabetes foot moist gangrene and blood stasis, wet poison accumulate resistance card, can significantly improve the clinical symptoms, and remove saprophytic muscle and promote with sores weeks, inflammation disappeared to improve blood circulation, promote granulation growth, make wound quickly achieve good growth state as soon as possible, the role of wounds to heal. For yiqi through pus method in the treatment of diabetes moist gangrene effective provides TCM treatment idea and method, therefore, for diabetes foot moist gangrene of syndrome differentiation, treatment should be specially designed square designed drug treatment within the system combines syndrome with external treatment for truncated disease, early intervention vicious cycle.