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A Case Study of Wound Dressing Treatment in a Patient with Diabetic Foot Ulcer

당뇨병성 족부 궤양 환자의 창상 드레싱 치료 증례

  • Lee, Ma-Eum (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Jeong, Mi-Rae (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Pusan National University Hospital) ;
  • Kwon, Kang (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Pusan National University Hospital) ;
  • Kim, Min-Hee (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Seo, Hyung-Sik (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Pusan National University Hospital)
  • 이마음 (강동경희대학교병원 한방안이비인후피부과) ;
  • 정미래 (부산대학교한방병원 한방안이비인후피부과) ;
  • 권강 (부산대학교한방병원 한방안이비인후피부과) ;
  • 김민희 (강동경희대학교병원 한방안이비인후피부과) ;
  • 서형식 (부산대학교한방병원 한방안이비인후피부과)
  • Received : 2021.03.29
  • Accepted : 2021.04.30
  • Published : 2021.05.25

Abstract

Objectives : The purpose of this study is to report on the treatment of wound dressing in patients with diabetic foot ulcers in the dermatology clinic of Korean medicine. Methods : First, sufficient marginal resection of the ulcer and necrotic tissue on the foot of a patient with diabetic peripheral neuropathy was performed. Inflammation was treated with Anti-inflammatory pharmacopuncture solution, and dressings were applied for one month using Cornu Cervi Parvum pharmacopuncture solution, and Haeboo ointment for granulation tissue formation and skin regeneration. Results : After 10 days of the treatment, the formation of new granulation tissue was observed in the necrotic tissue area, and the extent of the lesion decreased sharply from the 14th day. On the 40th day, epithelialization progressed so that the treatment was terminated, and complete keratinization of the site was observed at follow-up 3 weeks after the end of the treatment. Conclusions : In the treatment of wound dressings in diabetic foot ulcer patients, marginal resection treatment with the application of pharmacopuncture solution and herbal ointment showed good effect.

Keywords

Acknowledgement

본 연구는 2021년도 부산대학교병원 임상연구비 지원으로 이루어 졌음.

References

  1. Kang H, Kang HY, Kye YC, Koo DW, Kwon OS, Kim GM, et al. Textbook of Dermatology. 6th ed. Seoul:Medbook. 2015:197-526.
  2. Seo DK, Lee HS. Management of Diabetic Foot Ulcer. J Korean Foot Ankle Soc. 2014;18(1):1-7. https://doi.org/10.14193/jkfas.2014.18.1.1
  3. Oh WJ, Park CA. Clinical Research Trends on Korean Medicine for Diabetic Neuropathy -Focusing on Domestic Research Papers-. The Journal of East-West Medicine. 2019;44(2):81-93.
  4. Kang KW, Kang JY, Jeong MJ, Kim HJ, Seo HS, Jang IS. The Effect of Laser Therapy for Diaetic Ulcer : Systmenatic Review. J Korean Med Ophthalmol Otolaryngol Dermatol. 2017;30(4):62-74. https://doi.org/10.6114/jkood.2017.30.4.062
  5. Choi YN, Ko HJ, Kang HR, Kim HR, Jung CY, Cho HS, et al. A case report of a patient with diabetic foot lesions improved by acupuncture and bee-venom pharmacopuncture. Journal of the Spine&joint Korean Medicine. 2016;13(1):99-106.
  6. Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. Annals of medicine. 2017;49(2):106-16. https://doi.org/10.1080/07853890.2016.1231932
  7. So WB. Correction and Explanation of the Origin of Diseases. Beijing:People's Medical Publishing House. 1991:155-65.
  8. Kim BW. A Case Report of a Patient with Diabetic Foot Lesions. Korean J. Orient. Int. Med. 2004;25(3):684-9.
  9. Heo J. Dongeuibogam: Jobbyeon Chapter. Seoul:NamSanDang. 1989:506-11,536,550.
  10. Kim HW, Kim JH, Song JM. A Clinical Case Report of Diabetic patient with Foot ulcers. J. of Sassang Const. med. 2002;14(2):132-7.
  11. Kang SB. A Clinical Report about the Effects of Sogalchiong-tang on Diabetic Foot Lesion. Kor. J. Herbology. 2003;18(3):9-13.
  12. Ku BJ, Choi DE, Jeong JO, Rha SY, Lee HJ, Hong WJ, et al. the Clinical Observations in Diabetic Patients with Foot Ulcer. Journal of Korean Diabetes. 2002;3(3):244-52.
  13. Lee WC, Park HS, Kim HC, Kim CS, Choi DS, Rha JD. Influence of Neuropathy and Ischemia in the Development and Treatment of the Diabetic Foot. Journal of the Korean orthopaedic association. 1999;.34(4):749-53. https://doi.org/10.4055/jkoa.1999.34.4.749
  14. Kim JM, Jin HY, Kang SM, Kim SY, Park JH, Park TS, et al. The Impact of Diabetic Foot Ulcer on the Length and the Costs of Hospitalizaion. The Chonbuk University Medical Journal. 2007;31(2):9-18.
  15. Jeon SH, Sun MY, Bae SY. The Risk Factors Associated with Foot Re-Ulceration in Diabetes:A Retrospective Study Including Psychosocial Risk Factors. J Korean Foot Ankle Soc. 2012;16(2):108-15.
  16. Song JB, Sohn IC, Ahan SH, Kim JH. Pharmacopuncture of Anti-inflammatory Herbal Compounds Suppresses Colon Inflammation-induced c-Fos like Protein Expression in Rats. Journal of Pharmacopuncture. 2010;13(3):47-62. https://doi.org/10.3831/KPI.2010.13.3.047
  17. Lee KB, Park SK. Effects of Cornu Cervi Parvum Pharmacopuncture on the Blood Picture and Antioxidative Activity in Rats. Korean Journal of Acupuncture. 2010;27(2):25-34.
  18. Jo JW. Encyclopedia of Oriental Medince 1st ed. Seoul:Kyunghee University Publisher. 1999:136.