Once diagnosed, arteriosclerosis obliterans of lower limbs should be treated as soon as possible to avoid the deterioration of the disease. Treatment includes general routine treatment, drug treatment, endovascular interventional therapy and surgical treatment, and doctors will choose different treatment methods according to the severity of patients' illness.
Including: ① quitting smoking, which can obviously delay the progression of the disease; ② weight control, blood pressure reduction, sugar control and blood lipid reduction; The diet structure is reasonable, the meat and vegetables are matched, and the thickness is matched. Eat more foods with low salt, low sugar and high cellulose. ③ Appropriate walking exercise, insisting on walking for 60 minutes several times a day, and doing repeated movements of lifting, sagging, supine, foot rotation and flexion and extension for 20~30 minutes.
At present, antiplatelet and vasodilator drugs are mainly used, such as aspirin, clopidogrel and cilostazol. If the patient has diabetes, hyperlipidemia and hyperuricemia, statins are added to stabilize the plaque. Or use anticoagulants and painkillers if necessary to improve limb ischemia, relieve pain and promote ulcer healing.
For serious cases with ineffective drug treatment, it is necessary to perform surgical treatment of recanalization of blood vessels. Endovascular interventional therapy has become the first choice for surgical treatment of lower extremity arterial occlusive disease, and balloon dilatation and stent implantation have always been the main treatment of lower extremity arterial occlusive disease. At present, with the continuous development of endovascular technology, endovascular treatment has developed from simple balloon dilatation and stent implantation to comprehensive treatment methods such as balloon dilatation, stent formation, plaque rotation, intra-arterial thrombolysis and embolectomy, thus improving the curative effect and reducing the amputation rate.
Patients with arteriosclerosis of lower limbs must pay attention to the warmth of lower limbs to avoid limb injury. You can't soak your feet with hot water or warm your feet with a hot water bottle. Once a burn is formed, the wound is difficult to heal.