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[糖尿病性神经病变与糖尿病足综合征(2019年更新)]

[Diabetic neuropathy and diabetic foot syndrome (Update 2019)].

作者信息

Lechleitner Monika, Abrahamian Heidemarie, Francesconi Claudia, Kofler Markus, Sturm Wolfgang, Köhler Gerd

机构信息

Interne Abteilung, Landeskrankenhaus Hochzirl-Natters, Hochzirl, 6170, Zirl, Österreich.

Internistisches Zentrum Baumgartner Höhe, Otto-Wagner-Spital, Wien, Österreich.

出版信息

Wien Klin Wochenschr. 2019 May;131(Suppl 1):141-150. doi: 10.1007/s00508-019-1487-4.

DOI:10.1007/s00508-019-1487-4
PMID:30980143
Abstract

These are the guidelines for diagnosis and treatment of diabetic neuropathy and diabetic foot. Diabetic neuropathy comprises a number of mono- and polyneuropathies, plexopathies, radiculopathies and autonomic neuropathy.The position statement summarizes characteristic clinical symptoms and techniques for diagnostic assessment of diabetic neuropathy, including the complex situation of the diabetic foot syndrome. Recommendations for the therapeutic management of diabetic neuropathy, especially for the control of pain in sensorimotor neuropathy, are provided. The needs to prevent and treat diabetic foot syndrome are summarized.

摘要

这些是糖尿病神经病变和糖尿病足的诊断与治疗指南。糖尿病神经病变包括多种单神经病变和多神经病变、神经丛病变、神经根病变及自主神经病变。本立场声明总结了糖尿病神经病变的典型临床症状和诊断评估技术,包括糖尿病足综合征的复杂情况。文中提供了糖尿病神经病变治疗管理的建议,尤其是关于感觉运动神经病变疼痛控制方面的建议。还总结了预防和治疗糖尿病足综合征的需求。

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1
[Diabetic neuropathy and diabetic foot syndrome (Update 2019)].[糖尿病性神经病变与糖尿病足综合征(2019年更新)]
Wien Klin Wochenschr. 2019 May;131(Suppl 1):141-150. doi: 10.1007/s00508-019-1487-4.
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[Diabetic neuropathy].[糖尿病性神经病变]
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Diabetic neuropathies: diagnosis and treatment.糖尿病性神经病变:诊断与治疗
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Current Challenges and Opportunities in the Prevention and Management of Diabetic Foot Ulcers.糖尿病足溃疡的预防和管理面临的挑战与机遇。
Diabetes Care. 2018 Apr;41(4):645-652. doi: 10.2337/dc17-1836.
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Effect of α-lipoic acid on symptoms and quality of life in patients with painful diabetic neuropathy.α-硫辛酸对疼痛性糖尿病神经病变患者症状及生活质量的影响。
J Int Med Res. 2018 May;46(5):1779-1790. doi: 10.1177/0300060518756540. Epub 2018 Mar 8.
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10. Microvascular Complications and Foot Care: .10. 微血管并发症与足部护理:
2型糖尿病患者的握力与糖尿病性多发性神经病变相关。一项针对日本患者的单中心回顾性观察研究。
Endocr J. 2025 Apr 1;72(4):375-385. doi: 10.1507/endocrj.EJ24-0397. Epub 2025 Jan 7.
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Predictive power of isolated high home systolic blood pressure for cardiovascular outcomes in individuals with type 2 diabetes mellitus: KAMOGAWA-HBP study.孤立性高家庭收缩压对 2 型糖尿病患者心血管结局的预测能力:KAMOGAWA-HBP 研究。
Diab Vasc Dis Res. 2023 Nov-Dec;20(6):14791641231221264. doi: 10.1177/14791641231221264.
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The Metabolic Characteristics of Patients at the Risk for Diabetic Foot Ulcer: A Comparative Study of Diabetic Patients with and without Diabetic Foot.糖尿病足溃疡高危患者的代谢特征:糖尿病足患者与非糖尿病足患者的对比研究
Diabetes Metab Syndr Obes. 2023 Oct 17;16:3197-3211. doi: 10.2147/DMSO.S430426. eCollection 2023.
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The Use of Medical Grade Honey on Infected Chronic Diabetic Foot Ulcers-A Prospective Case-Control Study.医用级蜂蜜在感染性慢性糖尿病足溃疡中的应用——一项前瞻性病例对照研究。
Antibiotics (Basel). 2023 Aug 24;12(9):1364. doi: 10.3390/antibiotics12091364.
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Advances and perspective on animal models and hydrogel biomaterials for diabetic wound healing.用于糖尿病伤口愈合的动物模型和水凝胶生物材料的研究进展与展望
Biomater Transl. 2022 Sep 28;3(3):188-200. doi: 10.12336/biomatertransl.2022.03.003. eCollection 2022.
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Effects of a 12-Week Interventional Exercise Programme on Muscle Strength, Mobility and Fitness in Patients With Diabetic Foot in Remission: Results From BIONEDIAN Randomised Controlled Trial.干预性运动方案对处于缓解期的糖尿病足患者肌肉力量、活动能力和健康状况的影响:BIONEDIAN 随机对照试验的结果。
Front Endocrinol (Lausanne). 2022 Jul 5;13:869128. doi: 10.3389/fendo.2022.869128. eCollection 2022.
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Expression and Mechanism of TXNIP/NLRP3 Inflammasome in Sciatic Nerve of Type 2 Diabetic Rats.TXNIP/NLRP3炎性小体在2型糖尿病大鼠坐骨神经中的表达及机制
Dis Markers. 2022 Jul 8;2022:9696303. doi: 10.1155/2022/9696303. eCollection 2022.
10
Validity and reliability of the German translation of the Diabetes Foot Self-Care Behavior Scale (DFSBS-D).糖尿病足自我护理行为量表(DFSBS-D)德语版的信度和效度。
PLoS One. 2022 Jun 3;17(6):e0269395. doi: 10.1371/journal.pone.0269395. eCollection 2022.
Diabetes Care. 2018 Jan;41(Suppl 1):S105-S118. doi: 10.2337/dc18-S010.
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2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteriesEndorsed by: the European Stroke Organization (ESO)The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS).2017年欧洲心脏病学会(ESC)与欧洲血管外科学会(ESVS)合作制定的外周动脉疾病诊断和治疗指南:涵盖颅外颈动脉和椎动脉、肠系膜、肾、上肢和下肢动脉粥样硬化疾病的文件 认可机构:欧洲卒中组织(ESO) 欧洲心脏病学会(ESC)和欧洲血管外科学会(ESVS)外周动脉疾病诊断和治疗特别工作组
Eur Heart J. 2018 Mar 1;39(9):763-816. doi: 10.1093/eurheartj/ehx095.
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Management of Osteomyelitis and Bone Loss in the Diabetic Charcot Foot and Ankle.糖尿病夏科氏足踝部骨髓炎与骨质流失的管理
Clin Podiatr Med Surg. 2017 Jul;34(3):381-387. doi: 10.1016/j.cpm.2017.02.008. Epub 2017 Mar 22.
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[Diabetic foot syndrome - pathogenesis, diagnosis, therapy and prevention].[糖尿病足综合征——发病机制、诊断、治疗与预防]
Dtsch Med Wochenschr. 2015 Apr;140(8):593-602. doi: 10.1055/s-0041-101257. Epub 2015 Apr 16.
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From guideline to patient: a review of recent recommendations for pharmacotherapy of painful diabetic neuropathy.从指南到患者:糖尿病性疼痛性神经病变药物治疗近期推荐综述
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Diabetic foot syndrome.糖尿病足综合征
Exp Clin Endocrinol Diabetes. 2014 Jul;122(7):416-24. doi: 10.1055/s-0034-1366455. Epub 2014 Jul 11.
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Etiological factors of infections in diabetic foot syndrome - attempt to define optimal empirical therapy.糖尿病足综合征感染的病因-尝试定义最佳经验性治疗。
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Systematic review and meta-analysis of pharmacological therapies for painful diabetic peripheral neuropathy.系统评价和荟萃分析治疗糖尿病性周围神经病理性疼痛的药物治疗。
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