Egli M
Service d'Endocrinologie, Diabétologie et Métabolisme, Département de Médecine Interne, CHUV Lausanne.
Praxis (Bern 1994). 2012 Aug 22;101(17):1105-11. doi: 10.1024/1661-8157/a001032.
The diabetic foot remains a diabetes complication with potentially devastating consequences, which is initially silent and too often neglected. Its systematic screening first has to target the estimation of the risk level of foot lesions. This estimation is based on clinical examination regarding the severity of neuropathy, its consequences and of a possibly associated arterial disease. Preventive interventions are determined according to the risk level. They always rely on an important involvement of the patient, which in turn requires the healthcare professionals' engagement in individualized patient education and psychosocial support. Wound management and its diagnostic and therapeutic challenges usually calls for a collaborative approach involving several different specialists.
糖尿病足仍然是一种具有潜在严重后果的糖尿病并发症，它起初悄无声息，常常被忽视。其系统筛查首先必须针对足部病变风险水平的评估。这种评估基于对神经病变严重程度、其后果以及可能伴发的动脉疾病的临床检查。预防性干预措施根据风险水平来确定。它们始终依赖患者的积极参与，而这反过来又需要医护人员致力于个性化的患者教育和心理社会支持。伤口处理及其诊断和治疗挑战通常需要多种不同专科医生的协作方法。
