Retrospective Analysis Of 60 Patients With Ecthyma Treated With Integrated Traditional Chinese And Western Medicine

Purpose:By consulting the case data of 60 patients with ulcers treated by integrated traditional Chinese and Western medicine,and by calling the wounds to 25 patients in the past,the effect of integrated traditional Chinese and western medicine treatment was analyzed.Material and method:(1)According to the screening criteria of the case,conduct a detailed case analysis of 60 patients with lower extremity venous ulcers in the included group,and understand the wounds after the first debridement through the medical records,including the wound area,depth,and fluid properties,Granulation color.(2)For screening patients in the treatment of integrated traditional Chinese and western medicine,the principle of treatment is to differentiate oral Chinese medicine,anti-infection,and improve venous circulation.In the combined treatment of traditional Chinese and western medicine,the traditional Chinese medicine Yixiao onitment is used to cover the wound surface,or Chinese medicine Yixiao ointment combined VSD is used to cover the wound surface,once again record the wounds of the patients when they were discharged,compared with the wounds after the first debridement,observe whether the wounds have changed,and perform regular 20 days,40 days,60 days after discharge Follow up.(3)Analyze,summarize,summarize,and write a thesis.Results:60 patients with lower extremity venous ulcers healed when they left the hospital,25 were markedly effective,17 were effective,4 were ineffective,and the effective rate was93.3%.The average length of stay was 15.35±3.38 days.After leaving the hospital,25 patients were followed by telephone In the first call,the wounds of 17 patients(including those healed at discharge)were healed during the first call,and the wounds of 7 patients were reduced to varying degrees,and the wound of 1 invalid patient was not significantly reduced;the second call was to ask At the time of wounding,5 of these 8 unhealed patients healed,and the area of 2 wounds was reduced to varying degrees.One invalid patient chose a second hospitalization,and the third call to ask about the remaining 2 patients at the time of the wound.The wounds healed;The average number of healing days for these 24 patients was16.75±15.46 days,and there were no relapse patients during the period.Conclusion:1.When the syndrome of lower extremity venous ulcer is damp-heat betting type,in the treatment of integrated traditional Chinese and western medicine,the use of Simiao Pill +Qixue Tongluo tablets + anti-infection + Willitan or Diosmin tablets,in Chinese and Western medicine Combined with surgical treatment,when the depth of the wound surface does not reach the muscle layer after debridement,Yixiao ointment and Chinese medicine are used for fumigation and washing.When the depth of the wound surface reaches the muscle layer,Yixiao onitment combined with VSD and traditional Chinese medicine fumigation and washed,the effect is remarkable.2.When the syndrome of ulceration is Qi deficiency and blood stasis type,in the treatment of integrated traditional Chinese and western medicine,use Toli Tuyu Tang +Qixue Tongluo tablets + anti-infection + Willitan or Diosmin tablets Combined with surgical treatment,when the depth of the wound surface does not reach the muscle layer after debridement,Yixiao ointment and Chinese medicine are used for fumigation and washing.When the depth of the wound surface reaches the muscle layer,Yixiao onitment combined with VSD and traditional Chinese medicine fumigation and washed,the effect is remarkable.