CAJ | 학술논문

糖尿病足坏疽可分为干性坏疽、湿性坏疽、混合性坏疽。在同一伤口的不同时期，可分别采用干性或湿性愈合疗法，其辨证的关键在于局部血运及感染的情况。干性坏疽初期使用干性愈合疗法，加速坏死组织的脱水，待局部血运改善后采用湿性愈合疗法，促进创面愈合。湿性坏疽初期首先应用干性愈合疗法，控制感染，待感染控制后可采用湿性愈合疗法。混合性坏疽二者可同时应用。干性愈合疗法是控制感染的手段之一，湿性愈合疗法是去腐生肌、偎脓长肉的过程，二者相辅相成，相互转变，把握好应用时机，是促进慢性创面愈合的关键。
당뇨병족배저가분위간성배저、습성배저、혼합성배저。재동일상구적불동시기，가분별채용간성혹습성유합요법，기변증적관건재우국부혈운급감염적정황。간성배저초기사용간성유합요법，가속배사조직적탈수，대국부혈운개선후채용습성유합요법，촉진창면유합。습성배저초기수선응용간성유합요법，공제감염，대감염공제후가채용습성유합요법。혼합성배저이자가동시응용。간성유합요법시공제감염적수단지일，습성유합요법시거부생기、외농장육적과정，이자상보상성，상호전변，파악호응용시궤，시촉진만성창면유합적관건。
Diabetic foot gangrene can be classified into dry gangrene and moist gangrene or mixed gangrene.In different periods of the same wound,can use dry or moist healing therapy.The key of syndrome differentiation is the local blood supply and infection.Dry gangrene beginning of using dry healing therapy, speed up the process of dehydration necrotic tissue,after waiting for the local blood supply improvement using moist healing therapy,promote wound healing.Moist gangrene early application of dry healing therapy to control infection,in the first place.After waiting for infection control can be used to moist healing therapy. Mixed gangrene both can be applied at the same time.Dry healing therapy is one of the methods to control infection,wet healing therapy is the process of removing necrotic tissue and promoting granulation ,culturing the pus for the growth of muscles.Two treatment methods complement each other,mutual transformation, grasp the application time is the key to promote healing of chronic wounds.