辨证施药外治法在糖尿病足坏疽治疗中的应用

Application of external therapy with differentiation spraying in treatment of diabetic gangrene

糖尿病足坏疽有干性与湿性之分,多由局部血运及感染情况所决定。干性坏疽多因局部血供不足为主,而湿性坏疽则以局部感染为重。因此对于糖尿病坏疽不同类型伤口及同一伤口的不同时期,需要有针对性地采用干湿辨证法进行处理。而把握干湿转换的时机,适时辨证选择外用药物及清创手段是促进该类创面愈合的关键。

Diabetic gangrene can be classified into dry and moist, which was determined by the local blood supply and infection. Dry gangrene was always because of poor blood supply, while moist gangrene mainly took local infection as a lord. Therefore, it was necessary to discriminate the condition of dry and moist and treat targetedly to different kinds and periods of the same wound. However, the key of accelerating the wound healing is seizing the opportunity of the transforming of dry and moist, then choosing external use medicine and debridement timely.