Clinical Study on Diabetes Foot Ulcer Treated with External Application of Traditional Chinese Medicine Based on the Differentiation of Symptoms
Objective:To explore the curative efficacy of external application of Chinese medicine on promoting the healing of diabetes foot ulcer based on the differentiation of symptoms and signs of traditional Chinese medicine(TCM).Methods:Patients diagnosed with diabetes foot from July 2019 to July 2022 were randomly collected and divided into treatment group and control group.The treatment group was treated with debridement and external used Chinese medicine according to the three-stage differentiation of traditional Chinese medicine,while the control group was treated with simple debride-ment.Clinical comprehensive efficacy,visual analogue scale(VAS)score of limb pain and wound healing time were com-pared between the two groups.Results:90 cases were included,comprised 45 cases in the treatment group and 45 cases in the control group.There was no significant statistical difference between the two groups in the basic line.In terms of clini-cal comprehensive efficacy,for the treatment group,13 cases were cured,25 cases were markedly effective,3 cases were effective,and 4 cases were ineffective,with the total effective rate of 91％;in the control group,5 cases were cured,20 cases were markedly effective,2 cases were effective,and 18 cases were ineffective,the total effective rate was 60％.There was significant difference between the two groups(P＜0.05).The VAS score of the two groups was improved at 2 weeks,1 month and 3 months after treatment.The VAS score of the treatment group decreased from(6.31±1.01)points before treatment to(3.11±1.09)points at 2 weeks and(1.49±0.81)points at 1 month and(0.51±0.84)points at 3 months after treatment.The pain score of the control group decreased from(6.47±1.18)points before treatment to(4.18±1.45)points at 2 weeks and(2.58±0.89)points at 1 month and(2.00±1.38)points at 3 months after treatment.However,there was significant difference between the two groups(P＜0.05).The wound healing time of the treatment group was significantly shorter than the control group,and the difference was statistically significant(P＜0.05).However,there was no significant difference in VAS and wound healing time of different types between the treatment groups(P＞0.05).Conclusion:Rational application of TCM external preparations according to TCM syndrome differentiation can promote the healing of diabetes foot ulcers.
external use of traditional Chinese medicinediabetes footdifferentiation of symptoms
NETL
NSTL
万方数据
维普
