糖尿病性周围血管病变中医诊疗指南

Guidelines for diagnosis and treatment in traditional Chinese medicine for diabetic peripheral vascular diseases

糖尿病性周围血管病变(DPVD)是糖尿病的并发症之一,文章介绍了DPVD的诊疗现状及制定DPVD中医诊疗指南的必要性。《糖尿病性周围血管病变中医诊疗指南》立足于国内外中医药防治DPVD的研究成果,借鉴循证医学指南制定的原则和方法,通过文献检索与评价、数据合并和分析,参考GRADE证据级别与推荐强度评价方法建立证据分级体系,经过专家咨询与论证、指南质量评价及适用性评价而制定。本指南提出了DPVD的定义、诊断、鉴别诊断、中医辨证、治疗、预防调摄的具体内容。本指南成功发布[2022年第025号T/CACM1400-2022],对于指导中医师、中西医结合医师运用中医药诊疗DPVD,改善疾病预后,并推广应用具有重要意义。

Diabetic peripheral vascular disease(DPVD)is one of the complications of diabetes.This article introduces the current situation of DPVD diagnosis and treatment and the necessity of formulating traditonal Chinese medicine(TCM)diagnosis and treatment guidelines for DPVD.This guideline is based on the research results of TCM prevention and treatment of DPVD at home and abroad,draws on the principles and methods of evidence-based medicine guideline formulation,through literature retrieval and evaluation,data merging and analysis,and establish an evidence grading system with reference to the GRADE evidence level and recommendation strength evaluation method.After expert consultation and demonstration,guideline quality evaluation and applicability evaluation,the Guidelines for Diagnosis and Treatment in Taditional Chinese Medicine for Diabetic Peripheral Vascular Diseases was formulated.This guideline proposes the specific content of the definition,diagnosis,differential diagnosis,TCM syndrome differentiation,treatment,and prevention of DPVD.This guideline was successfully approved[2022No.025T/CACM1400-2022],which is of great significance for guiding TCM practitioners and integrative medicine physicians to use Chinese medicine to diagnose and treat diabetic peripheral vascular disease,improve the prognosis of the disease,and promoteits application.