| ObjectiveExplore the combination of diabetic foot Chinese and Western Medicine on the basis of comprehensive treatment to external application of Chinese medicine Oral and Washing Differential treatment of diabetic foot as a guide, use the basis of Western medicine and Chinese medicine treatment of the dialectical theory of governing law, coupled with Qing-rejiedu, Yiqihuoxue, Qu rot Myogenic Oral Washing external application of Chinese medicine to promote healing of diabetic foot sores clinical study. To explore the course of treatment of diabetic foot local treatment Chinese and Western Medicine on the basis of comprehensive treatment to external application of Chinese medicine Oral and Washing Differential treatment of diabetic foot as effective way to improve the wound healing rate of limb.MethodsA randomized controlled method, will meet the inclusion criteria were divided into 96 cases of diabetic foot treatment group 46 cases and control a group 50 cases. The treatment group in the comprehensive treatment of Western medicine on the basis of combined use of oral administration formulations Miao Yong An Tang 4, external washing agents Zhimu safflower Guizhi Chuanxiong moss leather pairs of white flowers Isatidis Angelica myrrh, and topical Qingrejiedu, Yiqihuoxue The traditional Chinese medicine powder ointment myogenic control group in the basis for comprehensive treatment of Western medicine with conventional dressing up the mixture after the gauze wet compress. Tow-month course of treatment. And to compare before and after treatment were observed in patients suffering from foot ulcer surface healing, biochemical indicators, peripheral blood circulation, blood clotting mechanisms of the effects, etc., to confirm that applied application of Chinese medicine Oral and Washing in the treatment of diabetic foot, promoting wound healing effect.ResultsThe results showed that 1. application Qingrejiedu Yiqihuoxue External Application Chinese Herbs Treatment of Diabetic Foot Washing with a good clinical efficacy. Treatment group was 86.9% in the control group, the total efficiency of 68%. The total effective rate in treatment group than the control group (P<0.05).2. Chinese medicine therapies within the application YIQIYANGYINBUXUE of goods not only improve clinical symptoms, hypoglycemic and lipid-lowering effect, but also effectively in patients with diabetic foot arteriosclerosis and microvascular disease, herbal bath can clean wound infection, removal of Muscle corruption, anti-inflammatory to swelling, and to encourage the affected foot position vasodilation, blood flow speed, it can not ignore the herbal bath method. But should be based on different stages of development and Differential Treatment of clinical drug of choice, while Traditional medicine is the treatment process can not be ignored, can be better extremities to improve blood supply to achieve the new objective saprophytic cured. External application of Chinese medicine can be effective in patients with diabetic foot foot microcirculation around the state, improve blood supply and oxygen supply, so that oxygen can be improved. The results show that no significant difference between the two groups before treatment, the treatment group than the control group (P <0.05); percutaneous oxygen partial pressure checks, no significant difference between the two groups before treatment, the treatment group, dorsal skin oxygen tension greater than 40mmHg, while the control group dorsal skin oxygen tension is less than 30mmHg, the treatment group than the control group (P<0.01).ConclusionChinese Herbs and Washing external application through the TCM treatment methods, it is used in diabetic foot treatment, clearing and detoxifying, promoting blood circulation, warm the meridians, anti-inflammatory pain, dispels corruption myogenic, improve local blood circulation, prevent blood clots formed to accelerate the growth of granulation tissue, promote wound healing. And patients have reduced blood glucose and lipid, the functions of whole blood viscosity, by Oral and Washing external application can make close to normal ankle-brachial ratio. For the treatment of diabetic foot syndrome and must be a whole combination of local differentiation. For the Chinese local syndrome differentiation provides a new way of thinking. |
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