| ObjectiveIn order to make clear of the feasibility of three phases pariion of DF in clinical. At the same lime.verify clinical efficacy and optimal period selection of thirsty gangrene lotion. Oil gauze for eliminai ion of inflammation and Mvogenie ointment gau/.e. For further study to explore a reasonable, effective, economical external treatment way of Diabetic Foot (DF),To establish clinical path in DF system through the combination of Iraditional Chinese Medicine and Western Medicine treatment which is guided by the therv of Traditional Chinese Medicine as the dominant characteristic. So that we can find a valid path to reduce the incidence of DP and takes the most appropriate clinical treatment method for ulcer infection and even gangrene of the DF, reduce the medical cost of the patients of DP, reduce personal and social economic burden.MethodsEligibi patients were randomly divided into Traditional Chinese Medicine external treatment group (treatment group1), pure. Western Medical therapy group (control group;. Hie iwo groups were not taked deeociinn of traditional Chinese medicine. The two groups were taken the same systematic treating measures including control of blood glucose, resistance to infe.ci ion, directing at the underlying disease. Traditional Chinese Medicine external treatment group takes depth of cut which uses lumbar spinal anesthesia at acute phase,then put film through the iwo ends of the foot. Use thirsty gangrene lotion (Chinese rhubarbs Dark plunu Gal I nut) to hath foot, then clean sore with hydrogen peroxide solution and physiological sh1ino,employ oil gauze for elimination oifinflammation for external application. Take Myogenic ointmen gauze in improved remission period. Pure Western Medical therapy group takes incision and drainage at acute phase then use hydrogen peroxide solution am! physiological saline to disinfect the sore, at last,use gauze with insulin+gentamicin+654-2as topical dressing for seven days. Genera] situation are observed in patients.including changes in body temporature, diet, sleep qual ity in the firsts third, seventh day, in preoperative and postoperat ive stage. In addition, the Joss degree of swelling of the (?)mb、local sore swelling and redness of the skin subsided time、sore exudate changes、odor response degreeN granulation tissue changes、evaluation of changes in dorsa artery of foot beat. limh pain and so on. Besides, white blood cells, neutrophils, hemoglobin, albumin, ESR, C reactive protein are all observed.Results1. The total effectiveness of treatment group in clinical observation study is eighty-three percent.The total effectiveness of pure western medical therapy group is eighty-one percent.There are no significant differences of statistical significance between the two groups(P>0.05)2. After the treatment, patients are improved with eating, sleep compared with preoperation both in treatment group and control group(P<0.05). The temperature returnes to the normal level after debridement operation (P<0.05) Local sore swelling and redness of the skinv sore exudate and odor response all have significant improvement (P<0.05). There are visible growth of granulation in the sore of ten patients of treatment group, the control group after seven days of treatment showes no growth of granulation. The dorsal is pedis artery pulsatility and limb pain relief is not obvious in the patients of the two groups. The level of white blood cells, neutrophils, hemoglobin, albumin, ESR and C reactive protein all have clroped. The level of albumin and hemoglobin are improved (P<0.05). Curative effect of promote the growth of granulation is likely superior in the treatment group than control group. There are no statistical significance of the remaining treatment between the two groups(P>0.05).ConclusionTraditional Chinese Medicine external treatment group and pure Western Medical therapy group both all have a better effect on systemic symptoms and local symptoms due to infection. On the other hand, local symptoms due to peripheral neuropathy and peripheral vascular disease, such as dorsal artery of foot and limb pain, the curative effect is not obvious. Curative effect of promote the growth of granulation is better in the treatment, group than control group. Combination of Chinese traditional and western medicine treatment effect is more precise. |
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