糖尿病足中医治疗研究进展

糖尿病足是糖尿病的常见慢性并发症之一,具有致残率高的特点,给患者带来巨大痛苦的同时,造成了巨大的经济和社会负担。中医药防治糖尿病足有较大的优势,本文结合相关文献,从内治法和外治法两个大的方面着眼,对糖尿病足的中医治疗研究进展做了简要综述。发现糖尿病足中医内治法研究内容丰富,主要包括分型论治、分期论治以及专方专药治疗等不同形式;外治法研究的成果则集中体现在外科清创术和外用药物研究两个方面。总的来看,当前中医药治疗糖尿病足已经取得了一些成果,但仍存在诊疗规范、临床疗效评价标准不统一,研究方法欠科学,基础性实验研究较薄弱等问题。本文就以上问题提出了改进意见,并指出糖尿病足中医药防治应突出内外治相结合、注重整体调理的优势特色,同时应积极借鉴西医在糖尿病足防治中的经验,从而进一步提高糖尿病足的临床治疗水平。

Review on the research progress of traditional Chinese medicine treatment of diabetic foot

Diabetic foot（DF） is one of common complications of diabetic mellitus,which has the characteristic of high morbidity.It has brought the patients great pains and has created an enormous social and economic burden.The prevention and control of diabetes foot with TCM has the big superiority.In this article,the research progress of TCM treatment of DF is briefly reviewed with a view to the two aspects of internal therapy and external therapy based on relevant literature.It is found that the research contents of TCM internal therapy of DF are rich,which mainly include syndrome differentiation and treatment,staging treatment,and special medicine and formula treatment.The research results of external therapy are mostly embodied in the two aspects of surgical debridement and topical drug research.Over all,some achievements has been made in TCM treatment of DF,but there are still some problems,such as diagnosis and treatment standardizationand,clinical curative effect evaluation standard are not unified,research method is not scientific enough,and basic experimental research is weak.This article puts forward some suggestions on the above problems,and points out that the prevention and control of DF with TCM should highlight the combination of internal therapy and external therapy,and regard the advantages and characteristics in holistic regulation,and at the mean time,western medicine＇s experience in the prevention and control of DF should be learned from actively to further improve the level of clinical treatment of DF.