糖尿病足创面病证结合动物模型研究进展
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国家重点研发计划项目(2019YFC1709303);天津中医药大学中医疮疡研究所建设项目(津中医科研〔2022〕6号)


Research Progress on Animal Model Combining Disease and Syndrome of Diabetic Foot Wound
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    摘要:

    糖尿病足创面(DFW)是糖尿病常见的严重并发症之一,具有迁延难愈、反复发作等特点,重者有截趾、截肢的风险。近年来,中医药在治疗糖尿病及其并发症取得显著疗效,中医药治疗DFW已成为研究亟待解决的难点和热点方向,而建立规范化的病证结合的动物模型有利于阐明疾病的发病机制、新型制剂的开发和寻找潜在治疗靶点,为中医药促进DFW修复治疗提供新的理论依据和实验依据。通过查询相关数据对目前现有的湿热毒盛证、寒湿阻络证、血脉瘀阻证、气阴两虚证动物模型进行归纳总结,对其不同证型病因病机特点、造模具体过程和方法进行分析,并对具体证型、证候特征、造模方式和观测指标进行阐述和探讨,同时提出DFW目前造模所存在的问题,并提出DFW未来的研究方向及思路,以期为中医辨证相关动物研究提供造模参考和为中医药治疗提供新的思路。

    Abstract:

    Diabetic foot wound(DFW) is one of the most common serious complications of diabetes,which is prolonged,difficult to heal,and recurrent.In severe cases,there are risks of toe and limb amputation.In recent years,traditional Chinese medicine(TCM) has achieved remarkable efficacy in treating diabetes mellitus and its complications,and the treatment of DFW by TCM has become a difficult and hot topic to solve in research.Moreover,the establishment of a standardized animal model combining disease and syndrome is conducive to pathogenesis elucidation,new preparation development,and potential therapeutic target search,which provides a new theoretical and experimental basis for the promotion of the repair and treatment of DFW with TCM.By inquiring about relevant data,this paper summarized the existing animal models of dampness-heat toxin excess,cold-dampness-blocking collateral,blood stasis,and qi-yin deficiency syndromes.Then,this paper analyzed the specific processes and methods of modeling,as well as the pathogenesis characteristics of the corresponding types.Additionally,the paper discussed the specific DFW types,syndrome characteristics,modeling modes,and observational indexes.The problems of the current DFW modeling were also put forward,with the future DFW research directions and ideas being envisioned.This paper aims to provide references for the modeling of animal studies on TCM syndrome differentiation and provide new ideas for TCM treatment.

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韦秋燕,刘玮,张朝晖,王雨萌,迟尘,陈肯.糖尿病足创面病证结合动物模型研究进展[J].世界中医药,2025,(08).

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  • 收稿日期:2024-04-28
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  • 在线发布日期: 2025-06-17
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