Clinical Observation With Yellow Oily Yarn In The Skin Growing Season Of Diabetic Foot

Objective:To evaluate the efficacy of using traditional Chinese medicine in external treatment of diabetic foot stage, in the skin growing season of DF, application of Yellow Oily Yarn promoting wound healing and epithelial growth mechanism. Methods:60 DF patients who are in skin growth period, were randomly divided into experimental group and control group with 30 patients in each. Both groups are with conventional blood glucose control in the basic treatment, anti-infection and in phases based on the Qing tendon surgery, the experimental group applies the yellow oily yarn external treatment, and control group applies conventional gauze dressing materials. Clinical features in patients were compared with normal skin and pathological changes in growth period, the wound healing time, treatment, ulcer area changes, and etc. Results:Before treatment, the experimental group and control group, ulcer area were 8.47±4.33,8.20±4.25(t=0.249, P=0.804); 1 week after treatment, experimental group and control group were 5.14±2.67,6.15±2.42(t=1.532, P=0.131); After 2 weeks were 2.34±1.23,5.05±1.74 (t=6.955, P<0.01) treatment for 3 weeks after the experimental group and control group ulcers were 1.37±0.82,3.72±1.41 (T=7.895, P<0.01); 100% epithelial coverage time experimental group is shorter than the control group 20.40±4.74,25.10±2.09 (t=4.964, P<0.01); dressing process of re-injury rate of 6.67 in experimental group% better than the control group 26.67%(Z=2.061, P=0.039,<0.05); the experimental group recovered, excellent, effective, ineffective, respectively 11,11,6,2 cases, markedly effective rate was 73.33%, the total efficiency of 93.33%; in control group, it was 6,9,11,4,43.33%,86.67%, experimental group is better than the control group (X2=5.99, P=0.014, <0.05). Conclusions:(1) In 60 patients, the top three precipitating factors are:wound, no obvious incentive, inappropriate shoes. (2) when the disease in patients with diabetic foot are observed, most of them are in 5-10 years' duration of diabetes, but some patients are newly discovered diabetes because it's difficult to heal foot injury. The ABI of these patients are always normal compared with other patients. Diabetic foot problems are not only the lower extremity arteries, but mostly invoved with systemic vascular disease, which occurs when the diabetic foot is involved with other major vascular or microvascular disease, thus diabetic vascular damage is a high risk factor for cardiovascula and cerebrovascular disease. (3) 60 patients with ABI decreased more than an average of 0.8655±0.0833, tips ischemia, patients with no obvious incentive to ABI in the 0.71-0.9 region. Whether or not there is external damage, vascular injury ischemic diabetic foot has always been there throughout the course of the disease.But the size of ABI and speed of ulcer healing time has no special linear relationship, probably due to vascular injury when the ischemic diabetic foot, the machine understand the formation of collateral circulation and blood supply of healing of diabetic foot ulcers is the necessary factor. (4) the lower the wagner grade is, the better the outcome of conservative treatment and prognosis is. And diabetic vascular injury and ischemia distal enough to the main; poor blood supply and poor prognosis. (5) The experimental group re-injury rate is lower than the control group, the yarn is the oily water yarn; during dressings process, it can reduce and avoid tearing or damage to new skin, reduce re-injury rate, thereby protecting the wound and promote wound epithelial cells. It inhibits the infection of topical medicine on one hand; on the other hand it can significantly reduce inflammation, and promote blood circulation and promote edema. It promotes the proliferation of local tissue cells, which in turn provides the necessary conditions to promote wound healing, and achieved good effect. The Yellow Oily Yarn is effective and gangrene for DF patients' Ulcer of skin growing period.