Objective:Of traumatology in the swelling of the yellow water cured of the diabetic foot rot swelling of the role of wound infection, initially described the gangrene of diabetic foot tendon tissue swelling, inhibition, limit the scope of the role of inflammatory mechanisms, and make it better efficacy advantage The theoretical basis, to promote them on this basis, while topical treatment to regulate Chinese medicine to provide more basis for diabetic foot ulcers. Methods:Select Wagner grade 2-4 level 60 patients with diabetic foot. Common features include large wound of necrotic tissue and secretions, accompanied by the stench, limb swelling, local swelling, pain, and skin temperature can be increased. By randomly divided into control and experimental group. Control group of 30 patients treated with conventional medication, filled with sterile gauze, elastic compression bandage. Experimental group of 30 patients, the use of hospital Trauma yellow water topical formulations. Both groups were treated for 2 weeks after treatment were compared ulcer area, swelling, a few negative bacteria, and Relevant physical and chemical indicators, including fasting blood glucose, postprandial 2 h blood glucose, high sensitive C-reactive protein and erythrocyte sedimentation rate. Results:(1) Selected 30 patients with diabetic foot patients in the experimental group triglyceride TG(4.86±0.76)mmol/L, Control group, triglyceride TG (4.94±0.67)mmol/L;were significantly higher than normal; (2) After 2 weeks of treatment, the use of Traumatology, yellow water group than with diabetic foot ulcers in patients with sterile gauze reduce the area, P<0.01, the statistical significance. (3) After 2 weeks of treatment, the use of traumatology treatment group than in the yellow water using sterile gauze swelling improved significantly, P<0.05,the statistical significance. (4) Trauma yellow water has good antibacterial effect of the experimental group before and after treatment and the control group the number of bacterial negative comparison, P<0.05, with statistical significance. (5) Trauma yellow water using a number of physical and chemical indicators of the experimental group, including white blood cell count, erythrocyte sedimentation rate and high sensitive C-reactive protein compared with control group, P<0.01, with statistical significance. (6) Trauma topical use of yellow water, the experimental group and control group before and after treatment fasting blood glucose and 2-hour postprandial blood glucose compared, P<0.05, compared with statistical significance.。Conclusion:Trauma Hospital of Foshan City, Yellow Water is old TCM development was created by Chen Wei-liang traumatology medicine, through a large number of basic and clinical research has found that anti-infective, anti-inflammatory, promoting local tissue hyperplasia, swelling and pain and other pharmacological effects; The experiment had a better microcirculation; to better achieve the in vitro antibacterial; promote wound healing. The study found that external application of yellow water traumatology treatment of diabetic foot wound infection swollen with good clinical efficacy, Trauma of the test to study yellow water found to have antibacterial, to improve the surface of the skin swelling and reduce the high sensitivity C-reactive protein, lower ESR, and promote the role of ulcer size reduction。In this study, we also observed that group 2 patients into the group in the fasting blood glucose, 2-hour postprandial blood glucose and glycosylated hemoglobin was no significant difference in the circumstances, After two weeks of treatment, treatment group, fasting plasma glucose and 2-hour postprandial blood glucose control were significantly better than the control group (P<0.05), Good control of blood sugar can be deployed by many factors, external application of yellow water traumatology treatment of diabetic foot infections is the role of multi-faceted, May be associated with infection was well controlled, reducing the stress response to infection have a positive effect on blood glucose related to, Its further application in clinical provides a theoretical basis for clinical guidance has some value and theoretical significance, worthy of its antibacterial swelling, and promote the mechanism of ulcer size reduction in depth. |