Papanas N, Maltezos E
Outpatient Clinic of the Diabetic Foot, 2nd Department of Internal Medicine, Democritus University, Thrace, Greece.
Hippokratia. 2009 Oct;13(4):199-204.
The diabetic foot continues to be a major cause of morbidity, posing a global threat. Substantial progress has been now accomplished in the treatment of foot lesions, but further improvement is required. Treatment options may be classified into established measures (revascularisation, casting and debridement) and new modalities. All therapeutic measures should be provided by specialised dedicated multidisciplinary foot clinics. In particular, the diabetic foot is a huge challenge for Greece. There is a dramatic need to increase the number of engaged foot care teams and their resources throughout the country. It is also desirable to continue education of both physicians and general diabetic population on the magnitude of the problem and on the suitable preventative measures. At the same time, more data on the prevalence and clinical manifestations of the diabetic foot in Greece should be carefully collected. Finally, additional research should investigate feasible ways of implementing current knowledge in everyday clinical practice.
糖尿病足仍然是导致发病的主要原因，构成了全球性威胁。目前在足部病变的治疗方面已取得了重大进展，但仍需进一步改进。治疗选择可分为既定措施（血管再通、石膏固定和清创术）和新方法。所有治疗措施都应由专门的多学科足部诊所提供。特别是，糖尿病足对希腊来说是一个巨大的挑战。迫切需要在全国增加从事足部护理的团队数量及其资源。还希望对医生和糖尿病普通人群就该问题的严重性以及适当的预防措施进行持续教育。同时，应仔细收集更多关于希腊糖尿病足患病率和临床表现的数据。最后，更多的研究应探讨在日常临床实践中应用现有知识的可行方法。
