补阳还五汤联合介入治疗糖尿病足的现状与展望

The present situation and prospect of Buyang Huanwu Decoction combined with interventional therapy for diabetic foot

糖尿病足是糖尿病常见的并发症,也是引起糖尿病患者截肢的主要原因。中医药作为我国传统医疗手段,对于治疗糖尿病足部溃疡、足部血管狭窄和糖尿病周围神经病变都有较好的效果,而介入作为近年来新兴起的技术,对于糖尿病外周血管的狭窄和闭塞也有很好的治疗作用。近年来许多医院创新性的应用补气扶正、活血化瘀的中药方剂联合介入治疗糖尿病足都取得了不错的效果。补阳还五汤作为补气活血通络的经典方剂,已广泛应用于糖尿病足的临床应用。本文从糖尿病患者侧支循环的建立,周围神经的改变,创面愈合的速度以及血糖、血脂的改善情况四个方面来介绍补阳还五汤联合介入治疗糖尿病足的现状并展望其治疗前景。

Diabetic foot is a common complication of diabetes and the main cause of amputation in diabetic patients.Traditional Chinese medicine,as a traditional medical means in China,has a good effect on the treatment of diabetic foot ulcer,foot vascular stenosis and diabetic peripheral neuropathy,and intervention,as a new emerging technology in recent years,has a good effect on the treatment of diabetic peripheral blood vessel stenosis and occlusion.In recent years,many hospitals have achieved good results in the innovative application of traditional Chinese medicine prescriptions of invigorating qi and strengthening the body,invigorating blood circulation and resolving blood stasis combined with interventional therapy for diabetic feet.Buyang Huanwu Decoction has been widely used in the clinical application of diabetic foot as a classical prescription for invigorating qi and activating blood circulation to clear collaterals.This paper introduces the current situation of Buyang Huanwu Decoction combined with interventional therapy for diabetic foot and its treatment prospect from four aspects:the establishment of collateral circulation,the change of peripheral nerves,the speed of wound healing and the improvement of blood glucose and lipid.