神经病变可能是糖尿病成人下肢烧伤后截肢的独立危险因素。
Neuropathy May Be an Independent Risk Factor for Amputation After Lower-Extremity Burn in Adults With Diabetes.
作者信息
Sen Soman, Barsun Alura, Romanowski Kathleen, Palmieri Tina, Greenhalgh David
机构信息
Department of Surgery, Division of Burn Surgery, University of California Davis, Sacramento, CA.
出版信息
Clin Diabetes. 2019 Oct;37(4):352-356. doi: 10.2337/cd18-0066.
Abstract
Treatment of lower-extremity burn injuries in adults with diabetes can be complex, and some diabetes-related factors can lead to impaired healing of such wounds, putting patients at risk of amputation. In this retrospective review of adult patients with lower-extremity burns, patients with pre-injury neuropathy and higher A1C levels were more likely to require amputations after their burn injury. The authors conclude that lower-extremity burn injuries in patients with diabetes require close follow-up and possibly referral to a burn specialist for interventions and treatment strategies to offset more serious complications.
摘要
糖尿病成人患者下肢烧伤的治疗可能很复杂，一些与糖尿病相关的因素会导致此类伤口愈合受损，使患者面临截肢风险。在这项对成人下肢烧伤患者的回顾性研究中，伤前患有神经病变且糖化血红蛋白（A1C）水平较高的患者在烧伤后更有可能需要截肢。作者得出结论，糖尿病患者的下肢烧伤需要密切随访，可能还需转诊至烧伤专科医生处，以采取干预措施和治疗策略来避免更严重的并发症。
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