全接触石膏在糖尿病足溃疡治疗中利弊的叙述性综述
A Narrative Review of the Benefits and Risks of Total Contact Casts in the Management of Diabetic Foot Ulcers.
作者信息
Messenger Grace, Masoetsa Richard, Hussain Imtiaz
机构信息
Dasman Diabetes Institute, Kuwait.
Podiatry Department Dasman Diabetes Institute, Kuwait.
出版信息
J Am Coll Clin Wound Spec. 2018 Jun 7;9(1-3):19-23. doi: 10.1016/j.jccw.2018.05.002. eCollection 2017.
Abstract
Total contact casts are recognized as the gold standard treatment for neuropathic plantar diabetic foot ulceration, endorsed by all national and international consensus papers. Despite this, research has shown that there is a dichotomy between the existing evidence which supports the use of total contact casts in the management of diabetic foot ulcers and its use in clinical practice. This article aims to highlight the benefits, risks, and barriers associated with total contact cast use in the management of diabetic foot ulcers in the clinical setting, with an emphasis on existing research carried out in this field to encourage change in clinical practice and utilization of this effective treatment modality.
摘要
全接触石膏被公认为是糖尿病性足底神经性溃疡的金标准治疗方法，得到了所有国家和国际共识文件的认可。尽管如此，研究表明，支持在糖尿病足溃疡管理中使用全接触石膏的现有证据与其在临床实践中的应用之间存在分歧。本文旨在强调在临床环境中使用全接触石膏治疗糖尿病足溃疡的益处、风险和障碍，重点是该领域的现有研究，以鼓励临床实践的改变和这种有效治疗方式的应用。
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