Saraogi Ravi Kant
Calcutta Medical Research Institute, Kolkata.
J Indian Med Assoc. 2008 Feb;106(2):112, 114, 116 passim.
Diabetic foot ulcer is a rising health problem with rising prevalence of diabetes. It is the most important cause of non-traumatic foot amputations. Diabetic foot ulcers are primarily due to neuropathy and/or ischaemia, and are frequently complicated by infection. Up to 85% of all diabetic foot related problems are preventable through a combination of good foot care and appropriate education for patients and healthcare providers. The holistic care of diabetic foot ulcer patients requires a multidisciplinary team approach. Apart from blood sugar control, treatment of ulcer involves debridement, offloading, appropriate dressings, vascular maintenance and infection control. Use of adjunctive treatments such as various growth factors, skin replacement dressings and vacuum assisted closure will accelerate healing in selected cases.
糖尿病足溃疡是一个随着糖尿病患病率上升而日益严重的健康问题。它是非创伤性足部截肢的最重要原因。糖尿病足溃疡主要是由神经病变和/或缺血引起的，并且经常并发感染。通过对患者和医护人员进行良好的足部护理和适当的教育，高达85%的糖尿病足相关问题是可以预防的。糖尿病足溃疡患者的整体护理需要多学科团队协作。除了控制血糖外，溃疡的治疗还包括清创、减负、使用合适的敷料、血管维护和感染控制。在某些特定病例中，使用各种生长因子、皮肤替代敷料和负压封闭引流等辅助治疗方法将加速愈合。
