Hollingshead T S
Denver Veterans Administration Hospital, Colorado.
Clin Podiatr Med Surg. 1991 Oct;8(4):843-55.
The etiology of diabetic foot ulcers is reviewed. A combination of neuropathy, angiopathy, and biomechanical forces are shown to cause foot ulcers in the diabetic patient. A treatment regimen for the resolution of these ulcers is proposed. Early detection with meticulous care and a high level of suspicion for infection expedites patient care. Metabolic control of diabetes mellitus will also encourage more rapid resolution of the diabetic foot ulcer. Patient education and compliance provides significant results and decreases the incidence of ulceration.
本文综述了糖尿病足溃疡的病因。研究表明，神经病变、血管病变和生物力学因素共同作用导致糖尿病患者足部溃疡。本文还提出了针对这些溃疡的治疗方案。早期发现并给予精心护理，同时高度警惕感染，可加快患者的治疗进程。糖尿病的代谢控制也有助于糖尿病足溃疡更快愈合。患者教育及依从性可取得显著效果，并降低溃疡发生率。
