中医药治疗2型糖尿病足0级疗效及研究进展

The Treatment Effect and Research Progress of the Chinese Medicine in the Treatment of Type 2 Diabetes Mellitus Foot Grade 0

摘要: 糖尿病足0级作为糖尿病足病程发展的早期，往往因其症状不严重而被患者忽视，耽误了治疗的最佳时机，以至于糖尿病足患者入院治疗时发现已经出现破损、溃疡、甚至向深部组织、骨质坏死发展。中医提倡“治未病”思想，其中“既病防变”完全契合医家治疗糖尿病足0级的目的。目前中医药在治疗方法颇多，本文通过查阅文献，总结了近年运用中医药治疗糖尿病足0级的方法，包括中医内治法、中医外治法、以及内外联合治疗。中医内治根据患者临床表现辨证分型论治；中医外治包括中医针灸、中药外敷、中药足浴、中药穴位透药、中药制剂穴位注射等外治方法。结果表明，中医药治疗疗效肯定，且治疗费用多数家庭能得以承担。

Abstract: As the earliest stage of the development of diabetic foot, diabetic foot grade 0 is often ignored by patients because its symptoms are not serious, delaying the best time for treatment, so that diabet-ic foot patients are found to have damage, ulcers, and even the development of deep tissue and bone necrosis when they are admitted to the hospital. Traditional Chinese medicine advocates the idea of “treating no disease”, among which “preventing disease from changing” is fully in line with the doc-tors’ purpose of treating diabetic foot grade 0. At present, there are many treatment methods of traditional Chinese medicine. This paper summarizes the methods of treating diabetic foot grade 0 with traditional Chinese medicine in recent years, including internal treatment of traditional Chi-nese medicine, external treatment of traditional Chinese medicine, and internal and external com-bined treatment. The traditional Chinese medicine internal treatment is based on the patient’s clinical manifestations to differentiate and classify the syndrome, and then formulate treatment strategies; the external treatment of Chinese medicine includes acupuncture, external application of Chinese medicine, foot bath of Chinese medicine, point application therapy, point injection of Chinese medicine preparations and other external treatment methods. The results show that the curative effect of traditional Chinese medicine is positive, and the cost of treatment can be borne by most families.