综合治疗中西医药用于耐性糖尿病足:一个病例报告
Luyao Wang1, Changting Sheng2, Jiaxin Liu1
1Department of Endocrinology,Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Frontiers in endocrinology
|November 21, 2025
概括
结合传统中医和西方医学的综合治疗有效地治愈了严重的糖尿病足 (DFU) 在手术失败后. 这种方法促进了晚期DFU病例的愈合和恢复四肢功能.
科学领域:
- 综合医学是一个整体的医学.
- 糖尿病学 糖尿病学
- 伤口愈合 伤口愈合
背景情况:
- 糖尿病足 (DFU) 是一种严重的糖尿病并发症,具有较高的截肢风险.
- 瓦格纳等级IV DFU 存在重大挑战,尽管进行了手术干预,但往往进展.
- 先进的DFU需要全面的管理策略,以防止进一步恶化和肢体损失.
研究的目的:
- 介绍一个高级DFU管理的案例研究.
- 评估结合中国传统医学 (TCM) 和西方医学的综合治疗的疗效.
- 证明结合疗法在实现关闭和功能恢复方面的潜力.
主要方法:
- 一名57岁的男性患者接受了瓦格纳4级DFU治疗,耐受两次脚截肢.
- 综合疗法包括TCM (口服开,局部应用) 和西方医学 (血糖控制,抗感染药物,循环支持,抗凝血,神经营养支持,营养).
- 治疗持续时间为144天,随后进行临床评估和功能恢复确认.
主要成果:
- 整合性治疗导致几乎完全通过放电关闭.
- 在随访期间,完全上皮质化和功能恢复得到证实.
- 在血糖控制中观察到显著改善,HbA1c从13.5%降至7.0%.
结论:
- 结合TCM和西方医学的综合管理策略对先进的DFU有效.
- 这种方法成功控制了感染,促进了组织再生,并恢复了四肢功能.
- 这一案例突显了多学科综合疗法的潜力,用于管理复杂的糖尿病脚并发症.
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