Department of Nephrology, West China Hospital of Sichuan University, Guoxuexiang, Wuhou, Chengdu 610041, China.
J Diabetes Complications. 2009 Sep-Oct;23(5):360-4. doi: 10.1016/j.jdiacomp.2008.05.002. Epub 2008 Jul 3.
Diabetes contributes 75-85% of the factors predisposing to foot amputations, usually in association with infection and gangrene. The treatment of foot ulcers is expensive, and the effectiveness of treatment varies. We report herein a case of a diabetic foot ulcer that was treated with integrated traditional Chinese and Western medicine, with desirable cost-effective results. Traditional Chinese medicine (TCM) therapeutic principles include improving the spleen, nourishing yin, regulating qi, and resolving dampness, as well as activating stagnant blood. Western medicine includes wound debridement, skin grafting, and use of insulin, antibiotics, and vasodilators. The patient was treated with a holistic multidisciplinary approach (i.e., a combination of TCM and Western medicine, surgical management, education for diabetic foot care, and psychological counseling). Without this approach, the patient might have ended up with foot amputation and/or sepsis.
糖尿病导致 75-85%的足部截肢风险因素，通常与感染和坏疽相关。足部溃疡的治疗费用高昂，且疗效存在差异。我们在此报告一例糖尿病足溃疡病例，该病例采用中西医结合治疗，具有良好的成本效益。中医治疗原则包括健脾、滋阴、调气、祛湿、活血。西医治疗包括清创、植皮以及胰岛素、抗生素和血管扩张剂的使用。患者采用了整体多学科治疗方法（即中医与西医结合、手术治疗、糖尿病足护理教育和心理咨询）。如果没有这种治疗方法，患者可能最终会截肢和/或发生败血症。
