MBBS, Unaccredited Surgical Registrar, Lismore Base Hospital, NSW.
FRACS (Vasc), Head of Department, Vascular Surgery, Lismore Base Hospital, NSW.
Aust J Gen Pract. 2020 May;49(5):250-255. doi: 10.31128/AJGP-11-19-5161.
Diabetic foot ulcers are associated with significant morbidity and mortality and can subsequently lead to hospitalisation and lower limb amputation if not recognised and treated in a timely manner.
The aim of this article is to review the current evidence for preventing and managing diabetic foot ulcers, with the aim to increase clinicians' confidence in assessing and treating these complex medical presentations.
All patients with diabetes should have an annual foot review by a general practitioner or podiatrist. A three-monthly foot review is recommended for any patient with a history of a diabetic foot infection. Assessment involves identification of risk factors including peripheral neuropathy and peripheral vascular disease, and examination of ulceration if present. It is essential to identify patients with diabetes who are 'at risk' of ulceration, assess for any early signs of skin breakdown, initiate appropriate management to prevent progression and refer the patient if indicated.
糖尿病足溃疡与显著的发病率和死亡率相关，如果不能及时识别和治疗，可能导致住院和下肢截肢。
本文旨在回顾预防和管理糖尿病足溃疡的现有证据，旨在增强临床医生对这些复杂医疗表现的评估和治疗信心。
所有糖尿病患者都应由全科医生或足病医生进行年度足部检查。任何有糖尿病足感染史的患者都建议每三个月进行一次足部检查。评估包括识别包括周围神经病变和周围血管疾病在内的风险因素，如果存在溃疡则进行检查。识别有溃疡风险的糖尿病患者、评估任何皮肤破裂的早期迹象、启动适当的管理以防止病情进展以及在必要时转介患者至关重要。
