How to treat arteriosclerosis obliterans of lower limbs?

Because arteriosclerosis of the lower extremity is the manifestation of systemic arteriosclerosis (vascular aging) in the local part of the lower extremity, the treatment of arteriosclerosis of the lower extremity must have a whole concept, not just specialist treatment. We can't rely on a single treatment. It is necessary to stabilize systemic basic diseases (hypertension, coronary heart disease, diabetes, etc.). Through comprehensive treatment, prevent the attack of myocardial infarction and cerebral infarction, and then establish effective collateral circulation through specialized treatment, so that the long-term curative effect can be more lasting.

1. Through basic medical treatment, the blood pressure of basic diseases (such as hypertension, diabetes and hyperlipidemia) is controlled below 140/90mmhg, the fasting blood glucose is controlled below 6. 1mmol/L, and the blood lipid is controlled within the normal range, which has a positive effect on delaying the occurrence and development of vascular diseases and has become a commonly used auxiliary means in clinic.

2. Intra-arterial interventional therapy: Under the guidance of color Doppler ultrasound, local application of drugs to femoral artery can give full play to its efficacy and has the advantages of quick onset and less trauma. The purpose is to relieve vasospasm and promote the establishment of collateral circulation. Only by establishing its own collateral circulation (it takes a period of time, usually 3-6 months) can the blood supply of the affected limb be permanently improved, and the long-term effect is good.

3. Anti-aggregation therapy: drugs are used to resist platelet aggregation, reduce blood viscosity and dilate blood vessels, prevent arterial occlusion and improve blood supply.

4. Intravascular balloon dilatation+stent implantation: Advantages: good short-term curative effect, which can quickly solve the pain. Disadvantages: the cost is expensive (ranging from 50,000 to 70,000), some blood vessel stents form thrombus again (ranging from 3 months to 2 years after operation), completely blocking blood vessels, and the long-term curative effect is poor.

5. Through traditional Chinese medicine (Chinese medicine fumigation) and physical therapy (magnetic hyperthermia, ROS blood purification therapy, etc. ), can relieve vasospasm, improve the blood supply of the affected limb and establish collateral circulation.