ZHENG Qi, LI You-shan, JI Ling-yun. Effect of Compound Cortex Phellodendri Fluid on AGEs and Inflammatory Factors in Promoting Healing Process of Diabetic Foot Ulcer[J]. Chinese journal of experimental traditional medical formulae, 2016, 22(24): 167-171.
DOI:
ZHENG Qi, LI You-shan, JI Ling-yun. Effect of Compound Cortex Phellodendri Fluid on AGEs and Inflammatory Factors in Promoting Healing Process of Diabetic Foot Ulcer[J]. Chinese journal of experimental traditional medical formulae, 2016, 22(24): 167-171. DOI: 10.13422/j.cnki.syfjx.2016240167.
Effect of Compound Cortex Phellodendri Fluid on AGEs and Inflammatory Factors in Promoting Healing Process of Diabetic Foot Ulcer
Objective: To discuss the effect of Compound Cortex Phellodendri fluid on inflammatory factors in promoting the healing process of diabetic foot ulcers
and observe its effect in promoting wound tissue healing. Method: Totally 120 patients with diabetic foot ulcers of toxic heat syndrome diagnosed in Dongzhimen Hospital between May 2014 and June 2015 were selected and randomly divided into treatment and control groups (with 60 cases in each group). Treatment group was locally administered with Compound Cortex Phellodendri fluid
while control group was locally administered with Kangfuxin solution
with once dressing change per day. At 0 d before administration and 7
14
21 and 28 d after administration
venous blood was collected to observe dynamic changes in high sensitive C reactive protections (hs-CRP)
tumor necrosis factor-α(TNF-α)
interleukin-6 (IL-6) and advanced glycation end-products (AGEs). Four weeks after treatment
improved clinical symptoms and dynamic changes in inflammatory factors of AGEs of both groups were analyzed statistically. Result: Treatment group showed the total efficiency of 81.3%
while control group showed the total efficiency of 68.8%
indicating total treatment group was superior to control group. At early stage of inflammatory reaction
both groups showed significant increases in hs-CRP
TNF-α and IL-6 (P<0.05)
at 7
14
21 and 28 d after administration
treatment group and control group showed significant decreases in hs-CRP
TNF-α and IL-6(P<0.05)
with a better efficacy in treatment group than control group (P<0.05); compared with control group
at 7
14
21 and 28 d after administration
treatment group and control group showed a declining trend in AGEs
with the lower AGEs in treatment group than control group (P<0.05). According to the dynamic analysis
AGEs were positively related to inflammatory factors
treatment group was superior to control group in principal syndrome integral and secondary syndrome integral (P<0.05). Conclusion: Compound Cortex Phellodendri fluid has a therapeutic effect in treating diabetic foot ulcer with toxic heat syndrome