糖尿病下肢血管病变的中西医治疗进展

Progress of Chinese and Western Medicine in the Treatment of Diabetic Lower Extremity Vascular Disease

摘要: 糖尿病下肢血管病变是常见的糖尿病并发症，严重危害患者健康，并带来沉重的经济负担。为梳理该病的最新治疗研究进展，本文综述了近年相关文献，重点探讨其中西医发病机制及常用治疗策略。结果表明，西医治疗在血管腔内技术等方面取得进展，但尚有再狭窄、感染等风险；中医通过辨证论治及外治法显示出良好疗效，但其起效的物质基础与作用机制尚未明确，制约了临床推广。中西医结合疗法在该病治疗中展现出独特优势，具有广阔的研究前景。

Abstract: Diabetic lower extremity vascular disease is a common complication of diabetes, posing a serious threat to patients’ health and imposing a significant economic burden. To summarize the latest research advances in the treatment of this condition, this review article summarizes recent relevant literature, focusing on the pathogenesis and common treatment strategies from both Western and traditional Chinese medicine perspectives. The results indicate that Western medicine has made progress in vascular endovascular techniques, but there are still risks such as restenosis and infection; traditional Chinese medicine has shown good efficacy through syndrome differentiation and treatment, as well as external therapies, but the material basis and mechanisms of action underlying its efficacy remain unclear, limiting its clinical application. Integrated traditional Chinese and Western medicine therapies demonstrate unique advantages in the treatment of this condition and hold promising research prospects.