Curative efficacy analysis of transverse tibial bone transport minimally invasive guide plate technique combined with Taohong Siwu Decoction in treating diabetic foot ulcer
Curative efficacy analysis of transverse tibial bone transport minimally invasive guide plate technique combined with Taohong Siwu Decoction in treating diabetic foot ulcer
Objective To observe the curative efficacy of transverse tibial bone transport minimally invasive guide plate technique combined with Taohong Siwu Decoction(THSWD)in treating diabetic foot ulcer(DFU).Methods Fifty patients with DFU who were scheduled to undergo transverse tibial bone transport surgery in the Department of Limbs and Joints,the First Hospital of Hunan University of Chinese Medicine from January 2021 to December 2022 were selected as the research subjects and randomly divided into observation and control groups,with 25 cases in each group.The control group was treated with minimally invasive guide plate technology combined with conventional basic treatment,while the observation group was additionally given THSWD starting from the first day after operation,with continuous treatment for four weeks in both groups.The pain visual analogue scale(VAS),skin temperature of the affected limb,10 g monofilament test score,ankle brachial index,and the ulcer wound area and healing time were compared between the two groups before and three months after treatment to evaluate clinical efficacy.Results After three months of treatment,the clinical effective rate of the observation group was 92％,which was higher than the 76％of the control group(P＜0.05);the healing time of ulcer wounds in the observation group was significantly shortened compared to the control group,with statistically significant difference(P＜0.05);the VAS,affected limb skin temperature,10 g monofilament test score,and ankle brachial index of patients in both groups were significantly improved compared with those before treatment(P＜0.05),and the above indexes in the observation group were improved more significantly than those in the control group(P＜0.05).Conclusion Transverse tibial bone transport minimally invasive guide plate technique combined with THSWD demonstrates significant clinical efficacy in treating DFU,with small wound and fast wound healing,which can obviously relieve the pain in affected limb and accelerate ulcer wound repair.
维普
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