摘要
糖尿病足具有高发病率、高致残率和高致死率等特点,治疗难度较大,治疗费用较高,给患者家庭及社会均造成了极大影响。目前,临床治疗糖尿病足的方法主要有自体富血小板凝胶、表皮生长因子、中医药外用等,且经大量基础及临床研究证实,中医外治法在糖尿病足的治疗中具有明显优势。根据患者具体情况在蚕食、鲸吞等方法“袪腐”的基础上,联合应用中药外敷、针灸、中药熏洗、穴位按摩、中频脉冲等中医外治法发挥了显著的“生肌”作用,不仅促进了创面的愈合,而且还改善了患肢疼痛、肿胀、麻木、发凉等不适症状,提高了患者的生存质量,“简、便、廉、验”的优势凸显。本研究对糖尿病足中医外治法的应用现状及研究进展进行了综述,旨在为糖尿病足的临床治疗提供参考。
Diabetic foot has the characteristics of high incidence,high disability rate,high fatality rate,great difficulty in treatment and high treatment cost,which has a great impact on patient’s family and society.At present,the main clinical treatments for diabetic foot are autologous platelet-rich gel,epidermal growth factor,external application of traditional Chinese medicines,etc.Lots of basic and clinical studies have confirmed that the external therapy of traditional Chinese medicine(TCM)has obvious advantages in treating diabetic foot.After the necrotic tissues were debrided in a gnawingaway way or swallowing way based on the specific condition of patients,the following application of TCM external therapies such as Chinese medicine dressing,acupuncture,Chinese herb fumigation and washing,acupressure,medium frequency pulse,etc.can significantly promote tissue regeneration,facilitate wound healing,and alleviate the uncomfortable symptoms such as pain,swelling,numbness and chill of the affected limb,improving the quality of life of patients.The combined application fully embodied the advantages of traditional Chinese medicine-“simple,convenient,affordable and effective”.This study summarized the application status and research progress of traditional Chinese medicine external therapy in the treatment of diabetic foot,aiming to provide reference for the clinical treatment of diabetic foot.
作者
卢维
陈壮丽
李杰辉
Lu Wei;Chen Zhuangli;Li Jiehui(Grade 2019,Integrative Medicine Major,Guangxi University of Chinese Medicine,Nanning City,Guangxi 530001,China;Department of Wound Repair and Peripheral Vascular Diseases,The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning City,Guangxi 530023,China)
出处
《中国烧伤创疡杂志》
2021年第4期233-236,250,共5页
The Chinese Journal of Burns Wounds & Surface Ulcers
基金
国家自然科学基金(81660793)
广西科技重点研发项目(桂科AB17292046)。
关键词
糖尿病足
创面
中医外治
针灸
中药熏洗
穴位按摩
Diabetic foot
Wound
TCM external therapy
Acupuncture
Chinese herb fumigation and washing
Acupressure
