Clinical Observation and Mechanism Study of Yunnan Baiyao in Different Stages of Diabetic Foot

Study Overview
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Brief Summary
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Yunnan Baiyao has been treating all kinds of wounds for 120 years, but the evidence of Evidence-based medicine that is truly convincing is insufficient, making its best application method unclear. This study explored the possible indications and use methods of Yunnan Baiyao in different stages of Diabetic foot, and obtained Evidence-based medicine evidence of clinical efficacy. Obtain the discarded tissues of Diabetic foot patients in the treatment and control groups of Yunnan Baiyao after wound debridement, conduct Transcriptome (BulkRNA seq) analysis and detection on the wound tissues, and analyze the related signal pathways and functional genes with significant differences, to help clarify the possible treatment targets of Yunnan Baiyao.

Official Title
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Clinical Efficacy Observation and Mechanism Study of Yunnan Baiyao in Different Stages of Diabetic Foot

Conditions
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Diabetic Foot, Therapeutics

Intervention / Treatment
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* Drug: Yunnan Baiyao


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The age of the subjects is 18-80 years old; Diagnose diabetes according to WHO standards; Diagnosis of Diabetic foot; Confirmed as one of the stages of infection progression and granulation growth; Voluntarily participate in this study and sign an informed consent form. Exclusion Criteria: Severe diseases such as acute myocardial infarction, heart failure, hepatitis, shock, and respiratory failure have not been corrected yet; Blood glucose is out of control, Glucose test#Fasting blood sugar&gt;15mmol /L, Glycated hemoglobin&gt;12%; There is active bleeding inside the wound, and routine basic treatment plans cannot be implemented; Serum albumin&lt;20g/L; Hemoglobin&lt;60g/L; Platelets&lt;50 × 109/L; Late stage subjects with malignant tumors; Active period of autoimmune diseases; Have a history of allergy to Yunnan Baiyao; The subject is unable to cooperate or has mental disorders; According to the judgment of the researcher, the subject has a clear reason that cannot be removed and affects wound healing, which is not suitable for this study or cannot comply with the requirements of this study.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: control group 1<br>The optimal clinical treatment scheme was used to treat the wound of progressive infection period patients for 2 weeks | |
| Experimental: powder group 1<br>On the basis of the optimal clinical treatment scheme, Yunnan Baiyao powder was used to treat the wound of progressive infection period patients for 2 weeks | Drug: Yunnan Baiyao<br>* On the basis of the optimal clinical treatment scheme, Yunnan Baiyao powder or ointment was used to treat the wound for 2 weeks<br>|
| Experimental: ointment group 1<br>On the basis of the optimal clinical treatment scheme, Yunnan Baiyao ointment was used to treat the wound of progressive infection period patients for 2 weeks | Drug: Yunnan Baiyao<br>* On the basis of the optimal clinical treatment scheme, Yunnan Baiyao powder or ointment was used to treat the wound for 2 weeks<br>|
| No Intervention: control group 2<br>The optimal clinical treatment scheme was used to treat the wound of granulation period patients for 2 weeks | |
| Experimental: powder group 2<br>On the basis of the optimal clinical treatment scheme, Yunnan Baiyao powder was used to treat the wound of granulation period patients for 2 weeks | Drug: Yunnan Baiyao<br>* On the basis of the optimal clinical treatment scheme, Yunnan Baiyao powder or ointment was used to treat the wound for 2 weeks<br>|
| Experimental: ointment group 2<br>On the basis of the optimal clinical treatment scheme, Yunnan Baiyao ointment was used to treat the wound of granulation period patients for 2 weeks | Drug: Yunnan Baiyao<br>* On the basis of the optimal clinical treatment scheme, Yunnan Baiyao powder or ointment was used to treat the wound for 2 weeks<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 2-week reduction rate of wound area | Difference in wound area before and after treatment | 2 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Diabetic Foot, Therapeutics