中医适宜技术辅助治疗糖尿病足病的研究现状

Research Status of Appropriate Traditional Chinese Medicine Techniques in the Auxiliary Treatment of Diabetic Foot Disease

摘要: 糖尿病足病是糖尿病中较为复杂、严重的并发症之一，病情迁延难愈，且截肢风险高。现阶段西医对于糖尿病足病的治疗大多数以扩血管、抗凝、抗血小板聚集，手术介入、搭桥、截肢等治疗为主，西医治疗糖尿病足病以精准诊断、快速干预、多学科协作和明确疗效评估为核心，能有效控制病情进展，改善患者生活质量。但临床中介入手术预后不理想，复发风险高。中医若单靠中药内服疗法效果较慢，而中医适宜技术在改善微循环、促进创面愈合及缓解患者疼痛等方面具有独特优势，弥补了在糖尿病足病治疗上的局限，故逐渐成为临床上辅助治疗糖尿病足病的重要方法。文章系统地总结了近年来中医适宜技术治疗糖尿病足病的研究进展，包括其作用机制、疗效评价及安全性分析，为该病的防治提供参照。

Abstract: Diabetic foot disease is one of the more complex and severe complications of diabetes, with a prolonged course of illness and a high risk of amputation. At present, the treatment of diabetic foot disease in Western medicine mainly focuses on vasodilation, anticoagulation, antiplatelet aggregation, surgical intervention, bypass surgery, and amputation. The treatment of diabetic foot disease in Western medicine is centered on precise diagnosis, rapid intervention, multidisciplinary collaboration, and clear efficacy evaluation, which can effectively control the progression of the disease and improve the quality of life of patients. However, the prognosis of interventional surgery in clinical practice is not ideal, and the recurrence risk is high. If traditional Chinese medicine relies solely on oral administration of Chinese herbal medicine, the effect is relatively slow. However, traditional Chinese medicine appropriate techniques have unique advantages in improving microcirculation, promoting wound healing, and relieving patient pain, which makes up for the limitations of traditional Chinese medicine in the treatment of diabetic foot disease. Therefore, it has gradually become an important method of auxiliary treatment for diabetic foot disease in clinical practice. This article systematically summarizes the research progress of traditional Chinese medicine appropriate techniques in the treatment of diabetic foot disease in recent years, including their mechanism of action, efficacy evaluation, and safety analysis, providing a reference for the prevention and treatment of this disease.