Sieggreen Mary
Department of Vascular Surgery, Harper University Hospital, Detroit Medical Center, Detroit, MI, USA.
Nurs Clin North Am. 2005 Jun;40(2):391-410. doi: 10.1016/j.cnur.2004.09.016.
The prevalence of peripheral arterial disease in the general population is high, but the awareness of primary care providers of the disease process is low. The disease is not recognized by primary care providers. Early recognition and treatment of venous diseases that progress to postphlebotic syndrome, such as after a deep vein thrombosis, will prevent venous ulcers that add considerable expense to the health care system. Vascular assessment, including routine ABI measurement of patients who are in risk categories for vascular disease will identify those patients so that prevention programs can be put into place early. Major contributions to the understanding and management of leg ulcers and wound healing have been made in the last decade. However, there is still confusion as to the exact mechanism behind ulcer development and the best method to manage, cure,and prevent these ulcers has yet to be found.
外周动脉疾病在普通人群中的患病率很高，但基层医疗服务提供者对该疾病进程的认知度较低。这种疾病未被基层医疗服务提供者所识别。对进展为血栓形成后综合征的静脉疾病，如深静脉血栓形成后，进行早期识别和治疗，将预防静脉溃疡的发生，而静脉溃疡会给医疗保健系统增加相当大的费用。血管评估，包括对处于血管疾病风险类别的患者进行常规踝臂指数测量，将识别出这些患者，以便能够尽早实施预防方案。在过去十年中，人们对腿部溃疡和伤口愈合的理解与管理做出了重大贡献。然而，对于溃疡形成的确切机制仍存在困惑，并且尚未找到管理、治愈和预防这些溃疡的最佳方法。
