Sibbald R Gary, Armstrong David G, Orsted Heather L
Department of Medicine, University of Toronto, Dermatology Day Care and Wound Healing Clinic, Sunnybrook and Women's College Health Sciences, Toronto, Canada.
Ostomy Wound Manage. 2003 Apr;49(4 Suppl):24-9.
People with diabetes who have foot ulcers require adequate vasculature, infection control, and pressure offloading to heal. Pain is uncommon in diabetic foot disorders, but it may herald the onset of limb-threatening complications such as deep infection, Charcot change, or critical ischemia. Although neuropathy is most commonly painless, a minority of patients experience disturbing burning, stinging, stabbing, or shooting sensations. Using the "preparing the wound bed" model, the cause of pain in the person with diabetic foot problems can be diagnosed systematically and important therapeutic measures can be instituted in an attempt to prevent potential complications, including amputation.
患有足部溃疡的糖尿病患者需要充足的血管供应、控制感染以及减轻压力才能实现愈合。疼痛在糖尿病足部疾病中并不常见，但它可能预示着诸如深部感染、夏科氏关节病变或严重缺血等威胁肢体的并发症的发生。虽然神经病变通常无痛，但少数患者会经历令人不适的灼痛、刺痛、刀割样痛或电击样感觉。采用“准备伤口床”模型，可以系统地诊断糖尿病足问题患者疼痛的原因，并采取重要的治疗措施，以试图预防包括截肢在内的潜在并发症。
