Li Lingxiao, Xu Jun, Wang Penghua, et al. Topical application of compound cortex phellodendri fluid in the treatment of diabetic foot ulcer[J]. Journal of Chongqing Medical University, 2017,42(3):289-294.
Li Lingxiao, Xu Jun, Wang Penghua, et al. Topical application of compound cortex phellodendri fluid in the treatment of diabetic foot ulcer[J]. Journal of Chongqing Medical University, 2017,42(3):289-294. DOI: 10.13406/j.cnki.cyxb.001177.
Objective:To investigate the clinical efficacy of compound cortex phellodendri fluid in the treatment of diabetic foot ulcer.Methods:Totally 204 patients with diabetic ulcer were randomly divided into test group(n=100)and control group(n=104)from January to November 2015. The baseline level of the two groups had no difference. They both were given standard ulcer treatments. The test group applied local compound cortex phellodendri fluid flushing and infiltration
while the control group applied normal saline.After 8 weeks of treatment
the ulcer area
clinical total effective rate and adverse events of two groups were statistically analyzed.Then the factors affecting wound healing were analyzed. Results:A total of 199 patients completed the study(97 patients in the test group
102 cases in the control group). After treatment
the ulcer area[test group 0.24(0
1.04)cm2 vs. control group 2.51(0
4.11)cm2
P=0.000] and clinical total effective rate(test group 92.8% vs. control group 78.4%
P=0.019)
both in the test group were better than those in the control group
the difference was statistically significant. The incidence of adverse events in the two groups had no significant difference(test group 26.8% vs. control group 27.5%
P =0.670). Erythrocyte sedimentation rate(OR =0.742
P =0.032)
C-reactive protein(OR=0.561
P=0.000)were independent risk factors for affecting ulcer healing and transcutaneous oxygen pressure(OR=8.429
P=0.000)were independent protective factor for promoting ulcer healing. Conclusion:Compound cortex phellodendri fluid has obvious effect on ulcer healing in diabetic foot ulcer.Compound cortex phellodendri fluid promotes ulcer healing by anti infection and improving microcirculation.