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糖尿病:与夏科氏神经关节病的关系概述。

Diabetes Mellitus: An Overview in Relationship to Charcot Neuroarthropathy.

机构信息

Department of Podiatry and Foot & Ankle Surgery, Virginia Mason Franciscan Health, 16233 Sylvester Road SW G-10, Burien, WA 98166, USA.

出版信息

Clin Podiatr Med Surg. 2022 Oct;39(4):535-542. doi: 10.1016/j.cpm.2022.05.001. Epub 2022 Aug 6.

Abstract

Diabetes mellitus with the lack of glycemic control increases risks for developing comorbidities affecting organ systems responsible for critical function. The development of diabetic neuropathy predisposes patients to the onset of Charcot neuroarthropathy (CN). There is significant complexity with treatment of diabetic-induced CN, which can have an often delayed or missed diagnosis. Supervision and treatment from trained specialists are required to provide care for this multifaceted disease process. It is essential for patients to partner with glucose control, comorbidity prevention and care, as well as lower extremity management. Ultimately, CN can result in significant lower extremity deformity placing patients at risk of limb and life.

摘要

糖尿病患者如果血糖控制不佳,会增加发生影响重要器官系统的合并症的风险。糖尿病性神经病的发生使患者易患夏科氏关节病(CN)。糖尿病性 CN 的治疗非常复杂,往往会出现延迟或漏诊。需要接受过专门培训的专家进行监督和治疗,为这一多方面的疾病过程提供护理。患者必须与血糖控制、合并症预防和护理以及下肢管理合作。最终,CN 可导致严重的下肢畸形,使患者面临肢体和生命风险。

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