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糖尿病足伤口负压伤口治疗应用的共识

Consensus on the application of negative pressure wound therapy of diabetic foot wounds.

作者信息

Ji Shizhao, Liu Xiaobin, Huang Jie, Bao Junmin, Chen Zhaohong, Han Chunmao, Hao Daifeng, Hong Jingsong, Hu Dahai, Jiang Yufeng, Ju Shang, Li Hongye, Li Zongyu, Liang Guangping, Liu Yan, Luo Gaoxing, Lv Guozhong, Ran Xingwu, Shi Zhongmin, Tang Juyu, Wang Aiping, Wang Guangyi, Wang Jiangning, Wang Xin, Wen Bing, Wu Jun, Xu Hailin, Xu Maojin, Ye Xiaofei, Yuan Liangxi, Zhang Yi, Xiao Shichu, Xia Zhaofan

机构信息

Burn Institute of PLA, Department of Burns, The First Affiliated Hospital of Naval Medical University, No. 168 Changhai Road, Yangpu District, Shanghai, 200433, China.

Fujian Burn Institute, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Gulou District, Fuzhou, 350001, China.

出版信息

Burns Trauma. 2021 Jun 21;9:tkab018. doi: 10.1093/burnst/tkab018. eCollection 2021.

Abstract

Because China is becoming an aging society, the incidence of diabetes and diabetic foot have been increasing. Diabetic foot has become one of the main health-related killers due to its high disability and mortality rates. Negative pressure wound therapy (NPWT) is one of the most effective techniques for the treatment of diabetic foot wounds and great progress, both in terms of research and its clinical application, has been made in the last 20 years of its development. However, due to the complex pathogenesis and management of diabetic foot, irregular application of NPWT often leads to complications, such as infection, bleeding and necrosis, that seriously affect its treatment outcomes. In 2020, under the leadership of Burns, Trauma and Tissue Repair Committee of the Cross-Straits Medicine Exchange Association, the writing group for 'Consensus on the application of negative pressure wound therapy of diabetic foot wounds' was established with the participation of scholars from the specialized areas of burns, endocrinology, vascular surgery, orthopedics and wound repair. Drawing on evidence-based practice suggested by the latest clinical research, this consensus proposes the best clinical practice guidelines for the application and prognostic evaluation of NPWT for diabetic foot. The consensus aims to support the formation of standardized treatment schemes that clinicians can refer to when treating cases of diabetic foot.

摘要

由于中国正步入老龄化社会,糖尿病及糖尿病足的发病率一直在上升。糖尿病足因其高致残率和高死亡率,已成为主要的健康杀手之一。负压伤口治疗(NPWT)是治疗糖尿病足伤口最有效的技术之一,在其发展的过去20年里,无论是在研究方面还是临床应用方面都取得了巨大进展。然而,由于糖尿病足发病机制和处理的复杂性,NPWT的不规范应用常导致感染、出血和坏死等并发症,严重影响其治疗效果。2020年,在海峡两岸医药卫生交流协会烧伤、创伤与组织修复专业委员会的牵头下,成立了“糖尿病足伤口负压治疗应用共识”撰写组,烧伤、内分泌、血管外科、骨科及伤口修复等专业领域的学者参与其中。该共识借鉴最新临床研究提出的循证实践,提出了糖尿病足NPWT应用及预后评估的最佳临床实践指南。该共识旨在支持形成标准化治疗方案,供临床医生在治疗糖尿病足病例时参考。

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