| 引用本文:董雨，王雨，王伏声.温通法治疗糖尿病性足坏疽：自然截肢法[J].世界中医药,2016,(10):. |
|
| 温通法治疗糖尿病性足坏疽：自然截肢法 |
| Warm and Circulate Therapy in Treating Diabetic Foot Gangrene:Natural Amputation |
| 投稿时间：2015-11-27 |
| DOI：10.3969/j.issn.1673-7202.2016.10.037 |
| 中文关键词: 温通法 自然截肢法 糖尿病性足坏疽 |
| English Keywords:Warm and circulate therapy Natural amputation Diabetic foot gangrene |
| 基金项目: |
|
| 摘要点击次数: 764 |
| 全文下载次数: 684 |
| 中文摘要: |
| 一名78岁糖尿病足女性，右足Ⅰ～Ⅴ趾混合性坏疽，外院建议行截肢手术，患者拒绝并求助于中医治疗。应用温通法指导中药内服，配合常规疮面外治、营养治疗，1个月后感染控制，2个月后缺血性疼痛明显改善，3个月后患足转为干性坏疽状态，与正常组织界限清晰，4个月后坏疽足趾逐步完成无损伤离断，9个月后残端疮面愈合。此患者良好的转归提示着温通法可以促进坏疽肢体离断和疮面愈合，为治疗糖尿病性足坏疽补充了一种自然、安全的截肢法。 |
| English Summary: |
| A 78-year old female patient suffered from diabetic foot with right forefoot of composite gangrene was referred from a western hospital to our hospital as the patient refused amputation and want to receive traditional Chinese medicine.During the treatment,herbal medicine,surgical dressing change,and nutrition therapy were administered.Inflammatory reaction was under control after the first month of treatment.Ischemic pain was relieved after two months.Moreover,after three months,the composite gangrene turned into dry gangrene,and a clear boundary between necrotic tissue and normal tissue formed.The necrotic toes were naturally detached from body after four months,and the chronic ulcer was healed after nine months.The patient′s good prognosis indicates that warm and circulate therapy can promote the process of necrotic limb detachment and wound healing.It supplements a safe and effective natural amputation for treating diabetic foot gangrene. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
