Volume 23 Issue 12
Dec.  2025
Turn off MathJax
Article Contents
FAN Bobo, MA Haitao, CAI Gaopo, DAI Xuena, WANG Hanjie, ZHOU Tao. The application of negative vacuum stealing drainage technology combined with Badu Shengji Powder in diabetic foot ulcer patients[J]. Chinese Journal of General Practice, 2025, 23(12): 2033-2037. doi: 10.16766/j.cnki.issn.1674-4152.004285
Citation: FAN Bobo, MA Haitao, CAI Gaopo, DAI Xuena, WANG Hanjie, ZHOU Tao. The application of negative vacuum stealing drainage technology combined with Badu Shengji Powder in diabetic foot ulcer patients[J]. Chinese Journal of General Practice, 2025, 23(12): 2033-2037. doi: 10.16766/j.cnki.issn.1674-4152.004285

The application of negative vacuum stealing drainage technology combined with Badu Shengji Powder in diabetic foot ulcer patients

doi: 10.16766/j.cnki.issn.1674-4152.004285
Funds:

 2022JDZX053

  • Received Date: 2025-06-11
    Available Online: 2026-03-13
  •   Objective  To investigate the effects of negative vacuum sealing drainage (VSD) technology combined with Badu Shengji Powder on wound healing, serum C-reactive protein (CRP), interleukin-18 (IL-18), and glycogen synthase kinase 3β (GSK-3β) levels in patients with diabetic foot ulcer (DFU).  Methods  A total of 118 DFU patients admitted to the department of peripheral vascular, the First Affiliated Hospital of Henan University of Traditional Chinese Medicine, from January 2023 to May 2025, were separated into the observation group (n=59, VSD technology + Badu Shengji Powder) and the control group (n=59, VSD technology). The effects of the combination on wound healing, CRP, IL-18, GSK-3β, and other indices were analyzed.  Results  Wound area, wound depth, granulation growth and wound exudation scores of both groups significantly decreased after treatment, and the above scores in the observation group [(1.14±0.15) points, (1.23±0.15) points, (1.15±0.16) points and (1.21±0.15) points] were significantly lower than the other group [(1.62±0.17) points, (1.64±0.19) points, (1.72±0.19) points and (1.68±0.17) points, F=14.156, 11.278, 114.287, 13.564, all P < 0.001]; After treatment, CRP, white blood cell count (WBC), IL-18, GSK-3β, transforming growth factor (TGF-β1) and endostatin (ES) in the observation group were significantly lower than those in the control group (P < 0.001), while vascular diameter, blood flow velocity, resistance coefficient, vascular endothelial growth factor (VEGF) and basic fibroblast growth factor (bFGF) significantly higher (P < 0.001).  Conclusion  VSD technology combined with Badu Shengji Powder can effectively promote DFU wound healing, regulate IL-18, GSK-3β, and other indicators, improve the hemodynamics of the back of the foot, and promote angiogenesis.

     

  • loading
  • [1]
    REARDON R, SIMRING D, KIM B, et al. The diabetic foot ulcer[J]. Aust J Gen Pract, 2020, 49(5): 250-255. doi: 10.31128/AJGP-11-19-5161
    [2]
    赵晓明, 张银刚. 术后联合木丹颗粒对于糖尿病足施行胫骨横向搬移患者的临床疗效[J]. 中华全科医学, 2020, 18(4): 533-536, 650. doi: 10.16766/j.cnki.issn.1674-4152.001291

    ZHAO X M, ZHANG Y G. Clinical effect of postoperative combined with Mudan Granule on diabetic foot patients undergoing tibial lateral bone transfer[J]. Chin J Gen Pract, 2020, 18(4): 533-536, 650. doi: 10.16766/j.cnki.issn.1674-4152.001291
    [3]
    MONTEIRO-SOARES M, BOYKO E J, JEFFCOATE W, et al. Diabetic foot ulcer classifications: a critical review[J]. Diabetes Metab Res Rev, 2020, 36(Suppl 1): e3272. DOI: 10.1002/dmrr.3272.
    [4]
    YIN X L, HU L, LI T, et al. A meta-analysis on the efficacy of vacuum sealing drainage combined with autologous platelet-rich plasma in the treatment of Grade 2 and Grade 3 diabetic foot ulcers[J]. Int Wound J, 2023, 20(4): 1033-1041. doi: 10.1111/iwj.13956
    [5]
    DUDA M, KIM P. Negative pressure wound therapy with instillation-dwell in orthopaedic trauma: how to avoid leaks and frustration[J]. J Orthop Trauma, 2022, 36(Suppl 4): S17-S21.
    [6]
    李星星, 李连涛. 肉芽肿性乳腺炎术后应用阳和汤加减及拔毒生肌散临床观察[J]. 实用中医药杂志, 2023, 39(1): 14-17.

    LI X X, LI L T. Clinical observation of postoperative application of Yanghe Decoction and Badu Shengji Powder in granulomatous mastitis[J]. J Pract Tradit Chin Med, 2023, 39(1): 14-17.
    [7]
    谷涌泉. 中国糖尿病足诊治指南[J]. 中国临床医生杂志, 2020, 48(1): 19-27.

    GU Y Q. Guidelines for diagnosis and treatment of diabetic foot in China[J]. Chin J Clin, 2020, 48(1): 19-27.
    [8]
    中华中医药学会糖尿病分会. 糖尿病足中医诊疗标准[J]. 世界中西医结合杂志, 2011, 6(7): 618-625.

    Diabetes Branch, Chinese Association of Traditional Chinese Medicine. Standard of TCM diagnosis and treatment of diabetic foot[J]. World J Integr Tradit West Med, 2011, 6(7): 618-625.
    [9]
    中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2020年版)[J]. 中华内分泌代谢杂志, 2021, 37(4): 311-398.

    Diabetes Society of Chinese Medical Association. Guideline for the prevention and treatment of type 2 diabetes mellitus in China (2020 edition)[J]. Chin J Endocrinol Metab, 2021, 37(4): 311-398.
    [10]
    胡丽, 皮银珍, 胡韵婷, 等. 自体富血小板凝胶治疗难治性糖尿病足溃疡的疗效和机制[J]. 贵州医科大学学报, 2020, 45(12): 1464-1468.

    HU L, PI Y Z, HU Y T, et al. Efficacy of autologous platelet rich gel in treatment of refractory diabetic foot ulcers and its mechanism[J]. J Guizhou Med Univ, 2020, 45(12): 1464-1468.
    [11]
    CAI L Y, MEI Y F, CHEN C H, et al. Comparison of vacuum sealing drainage and conventional drainage for postoperative drainage in closed calcaneal fracture: a randomized controlled trial[J]. Injury, 2022, 53(2): 777-783. doi: 10.1016/j.injury.2021.10.018
    [12]
    王双勋. 基于"伏毒"理论研究糖尿病性溃疡难愈机制及拔毒生肌散的干预效应[D]. 沈阳: 辽宁中医药大学, 2023.

    WANG S X. The mechanism of diabetic ulcer and the intervention effect of Badushengji Powder were studied based on the theory of "fudu"[D]. Liaoning: Liaoning Univ Tradit Chin Med, 2023.
    [13]
    XING H, YANG Y, XING W Q, et al. Vacuum sealing drainage for primary thoracolumbar spondylodiscitis: a technical note[J]. Biomed Res Int, 2022, 2022: 9248972. DOI: 10.1155/2022/9248972.
    [14]
    崔云龙, 胡淑琴. 拔毒生肌散联合蚕食清创法在糖尿病足溃疡治疗中的应用[J]. 中国当代医药, 2024, 31(10): 110-113.

    CUI Y L, HU S Q. Application of Badu Shengji Powder combined with nibbling debridement in the treatment of diabetic foot ulcer[J]. Chin Mod Med, 2024, 31(10): 110-113.
    [15]
    YANG R F, HUA H T, WANG X W, et al. Vacuum sealing drainage combined with eggshell-like debridement antibiotic-loaded calcium sulphate for calcaneal osteomyelitis[J]. J Orthop Surg Res, 2023, 18(1): 796. DOI: 10.1186/s13018-023-04259-6.
    [16]
    王双勋, 李大勇. 基于Wnt/β-catenin通路探讨拔毒生肌散对糖尿病大鼠皮肤溃疡愈合的促进作用[J]. 中华中医药学刊, 2023, 41(2): 115-119, 后插8-9.

    WANG S X, LI D Y. Promoting effect of Badu Shengji Powder on skin ulcer healing in diabetic rats based on Wnt/β-catenin pathway[J]. Chin Arch Tradit Chin Med, 2023, 41(2): 115-119.
    [17]
    ZHANG Y L, TIAN S W, LIU M Y, et al. Comparison of antibiotic-impregnated bone cement coverage versus vacuum sealing drainage in semi-open bone grafting using for tibial fracture with infected bone and soft tissue defect: a retrospective analysis[J]. BMC Musculoskelet Disord, 2023, 24(1): 401. DOI: 10.1186/s12891-023-06475-x.
    [18]
    刘东, 伍光辉, 罗琳, 等. 拔毒生肌散治疗慢性创面的研究进展[J]. 世界中医药, 2020, 15(6): 949-952.

    LIU D, WU G H, LUO L, et al. Research progress of Badu Shengji Powder in the treatment of chronic wounds[J]. World Chin Med, 2020, 16(6): 949-952.
    [19]
    陈慧芳, 罗惠芳, 张琼. 糖尿病足感染性溃疡应用拔毒生肌散治疗的临床观察分析[J]. 现代消化及介入诊疗, 2019(A01): 922-923.

    CHEN H F, LUO H F, ZHANG Q. Clinical observation and analysis of treating diabetic foot infectious ulcer with Badushengji Powder[J]. Mod Digest & Interv, 2019, 24(A01): 922-923.
    [20]
    LIU J Y, CHEN D, YIN X T. Effect of manual lymphatic drainage combined with vacuum sealing drainage on axillary web syndrome caused by breast cancer surgery[J]. Int Wound J, 2023, 20(1): 183-190. doi: 10.1111/iwj.13862
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(6)

    Article Metrics

    Article views (19) PDF downloads(0) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return