Bell Desmond
American College of Certified Wound Specialists, Jacksonville, Florida, USA.
Surg Technol Int. 2008;17:113-7.
Diabetic foot ulcers (DFU) are a common co-morbidity affecting patients with diabetes. A variety of factors, including diabetic peripheral neuropathy, altered gait, and increased pressure on certain regions of the foot, can over time result in a diabetic foot wound. Reducing pressure at the site of the ulcer can promote healing and prevent further ulceration. Offloading is an evidence-based treatment modality for patients with DFUs and is part of the standard protocol for treatment. We discuss here the most common offloading modalities, placing them in the context of relevant medical and compliance issues that affect their use and success.
糖尿病足溃疡（DFU）是糖尿病患者常见的一种合并症。多种因素，包括糖尿病周围神经病变、步态改变以及足部某些区域压力增加，随着时间的推移可能导致糖尿病足伤口。减轻溃疡部位的压力可促进愈合并防止进一步溃疡。减压是糖尿病足溃疡患者基于证据的治疗方式，也是标准治疗方案的一部分。我们在此讨论最常见的减压方式，并将它们置于影响其使用和成效的相关医学及依从性问题的背景中。
