Effect of Chinese drugs for benefiting-qi, activating-blood, dissolving-phlegm and removing-toxin combined with conventional treatment in preventing and treating post-operative vascular restenosis in patients with diabetic lower extremity arterial disease underwent percutaneous transluminal angioplasty.
- Author:
Shang JU
1
;
Bo-Hua YANG
;
Yun-Long CUI
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Aged, 80 and over; Angioplasty; Arterial Occlusive Diseases; drug therapy; therapy; Diabetes Mellitus, Type 2; physiopathology; Diabetic Angiopathies; drug therapy; physiopathology; therapy; Drugs, Chinese Herbal; therapeutic use; Female; Humans; Lower Extremity; blood supply; Male; Middle Aged; Phytotherapy; Secondary Prevention
- From: Chinese Journal of Integrated Traditional and Western Medicine 2010;30(9):901-904
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo verify the clinical efficacy of Chinese drugs for benefiting-qi, activating-blood, dissolving phlegm and removing-toxin (CDs) Combined with Conventional Treatment on post-operative vascular restenosis in patients with diabetic lower extremity arterial disease (DLEAD) underwent percutaneous transluminal angioplasty (PTA).
METHODSFifty-six DLEAD patients underwent PTA of below-knee artery were assigned to the treatment group (32 patients) treated by basic therapy combined with CDs and the control group (24 patients) treated by basic therapy only. The changes in symptoms and signs, ankle/brachial index (ABI) and transcutaneous oxygen pressure (TCPO2) of affected limb, and blood flow (BF) in operated vessels checked with color Doppler examination were monitored and analyzed with SPSS software 16. 0.
RESULTSOverall effectiveness, including symptom score, ABI, TCPO2 and BF in patients after operation were all better in both groups significantly (P < 0.05), the improvements began to reveal in 3-6 months, and be stabilized in the treatment group, but declined gradually in the control group after then. So, the effective rate in the treatment group became significantly higher than that in the control group (75.00% vs. 41.67%, P < 0.01) at the end of the 6th month, meanwhile levels of ABI (0.65 +/- 0.12), TCPO2 (68.00 +/- 4.21 mm Hg), and BF (35.00 +/- 2.11 cm/s) in the former were better than those in the control group, respectively (0.44 +/- 0.12, 41.00 +/- 2.02 mm Hg and 21.00 +/- 1.85 cm/s, P < 0.05).
CONCLUSIONCDs shows definite effect in post-PTA prevention of vascular restenosis in DLEAD patients.
