中医外治法治疗糖尿病足溃疡的研究进展

Research Progress of the External Therapy of Traditional Chinese Medicine for the Treatment of Diabetic Foot Ulcer

糖尿病足溃疡(diabetic foot ulcer, DFU)是糖尿病最常见、最严重的并发症之一,具有治疗难度大、住院时间长、创面愈合慢、致残率高等特点。近年来,中医外治法在缩小DFU患者创面面积、促进创面愈合方面取得了显著成效。故分析整理近5年中医外治法治疗DFU的文献,从中医外治法的理论基础、中药外敷、外洗、熏蒸、针灸和作用机制等方面阐述中医外治法治疗DFU的研究进展,旨在为临床治疗及深入研究提供思路与方法。Diabetic foot ulcer (DFU) is one of the most prevalent and serious complications of diabetes, characterized by its difficulty in treatment, extended hospitalization periods, slow wound healing, and high disability rates. In recent years, traditional Chinese medicine (TCM) external treatment methods have achieved remarkable effectiveness in reducing the wound size and promoting wound healing in patients with DFUs. Therefore, this paper conducts a comprehensive review and analysis of literature from the past five years regarding the application of TCM external therapies in DFU treatment. It aims to elucidate the research progress in this field, covering aspects such as the theoretical foundation, external application of Chinese herbal medicine, external washing of traditional Chinese medicine, fumigation, acupuncture, and underlying mechanisms. By providing insights and methodologies, this paper seeks to facilitate both clinical treatment and in-depth research in this area.