中西医结合营养治疗在糖尿病足患者中应用的研究进展

A review on the application of integrated medicine nutrition therapy in the treatment of diabetic foot patients

糖尿病足(Diabetic Foot,DF)是糖尿病最常见的慢性并发症之一,给患者、医疗系统及社会带来了严重负担,已经成为全球不容忽视的公共卫生问题。DF发病率高、复发率高、截肢率及致残致死率高,其病程长,患者长期处于营养不良状况下,存在较高的营养风险,长期膳食结构不合理也加剧了其治疗难度,影响疾病的治疗和转归。因此,在目前传统治疗方法的基础上探索出更加科学有效的治疗方法,即主张多学科合作进行综合性的诊断和治疗显得尤为重要。近年来,营养治疗干预DF作用显著,其可以改善足部创面愈合效果,减轻患者的痛苦,提高患者的生活质量。传统单一西医或中医营养干预缺乏可持续性,仅能在干预期间改善患者营养状况。中西医结合营养治疗是DF患者治疗伤口并获得远期良好预后的重要手段,其将中医辨证施膳与西医精准营养治疗进行科学合理的结合,患者接受程度高,减轻了患者的经济负担。文章通过查阅分析归纳近五年来的相关文献,总结DF的中西医结合营养治疗的方法,旨在促进DF个性化的中西医结合营养治疗与护理进展,指导临床医护人员于实践过程中准确科学有效地进行干预治疗,促使DF患者通过中西医结合营养治疗明显获益。

The diabetic foot is one of the most common chronic complications of diabetes mellitus,which has brought a serious burden to patients,the healthcare system and the society,and has become a public health problem that cannot be ignored globally.Diabetic foot has a high incidence rate,high recurrence rate,high amputation rate,and high disability and fatality rate,its disease duration is long,the patient is under long-term malnutrition,there is a high nutritional risk,and the patients’unreasonable long-term dietary structure also aggravates the difficulty of treatment,affecting the treatment of the disease and regression.Therefore,it is particularly important to explore a more scientific and effective treatment method based on the current traditional treatment methods,i.e.,to advocate multidisciplinary cooperation for comprehensive diagnosis and treatment.In recent years,the role of nutrition therapy in diabetic foot intervention is remarkable,which can improve the healing effect of foot wounds,reduce the pain of patients,and improve the quality of life of patients.Traditional Western medicine or TCM nutritional intervention lacks sustainability and can only improve the nutritional status of patients during the intervention period.Integrated medicine nutrition therapy is an important means to treat the wound of diabetic foot patients and obtain a good long-term prognosis.It combines the differential diet of TCM with the precise nutritional treatment of Western medicine scientifically and rationally,which has a high degree of acceptance by patients and reduces the economic burden of patients.By consulting,analyzing and summarizing the relevant literature in the past five years,this paper summarizes the methods of integrated medicine nutrition treatment for diabetic foot,aiming to promote the progress of personalized integrated medicine nutrition therapy treatment and nursing for diabetic foot,and guide clinical medical staff to accurately,scientifically and effectively intervene in the practice with a prospect of benefitting diabetic foot patients through integrated medicine nutrition therapy.