糖尿病足溃疡(DFU)是糖尿病最为严重的并发症之一,创面修复难度大,临床诊疗负担重。近年来,中西医在DFU治疗领域的理念和方法呈现多元化发展的态势,在诊疗实践中积累了丰富的临床经验。文章从中西医学角度系统梳理DFU的病因、病机与诊疗研究进展,回顾中西医对该病的认知演变与临床实践,从理论基础、特色疗法与实践应用深入探讨中西医治疗DFU的特点,并对中西医结合与微创化诊疗DFU的发展趋势进行展望,以期为临床治疗DFU提供参考。
微创医学 页码:421-427
作者机构:1 广西中医药大学第一附属医院创面修复外科(烧伤创疡科),广西南宁市 530023;2 广西中医药大学研究生院,广西南宁市 530001
基金信息:国家自然科学基金项目(编号:82360931);广西自然科学基金面上项目(编号:2024GXNSFAA010288) *通信作者
糖尿病足溃疡(DFU)是糖尿病最为严重的并发症之一,创面修复难度大,临床诊疗负担重。近年来,中西医在DFU治疗领域的理念和方法呈现多元化发展的态势,在诊疗实践中积累了丰富的临床经验。文章从中西医学角度系统梳理DFU的病因、病机与诊疗研究进展,回顾中西医对该病的认知演变与临床实践,从理论基础、特色疗法与实践应用深入探讨中西医治疗DFU的特点,并对中西医结合与微创化诊疗DFU的发展趋势进行展望,以期为临床治疗DFU提供参考。
Diabetic foot ulcer (DFU) is one of the most severe complications of diabetes mellitus, featuring difficult wound repair and heavy clinical diagnosis and treatment burden. In recent years, the concepts and methods for DFU treatment in traditional Chinese and western medicine have shown a trend of diversified development, and abundant clinical experience has been accumulated in diagnosis and treatment practice. From the perspectives of traditional Chinese and western medicine, this article systematically sorts out the etiology, pathogenesis and research progress in diagnosis and treatment of DFU. By reviewing the evolution of understanding and clinical practice of this disease in traditional Chinese and western medicine, it further discusses the characteristics of DFU treatment with traditional Chinese and western medicine in terms of theoretical basis, characteristic therapies and practical application, and prospects the development trend of integrated traditional Chinese and western medicine and minimally invasive diagnosis and treatment for DFU, so as to provide references for clinical management of DFU.