Yang Li, Rong Gui-Chuan, Wu Qi-Nan
Department of Endocrinology, Dazu Hospital of Chongqing Medical University, The People's Hospital of Dazu, Chongqing 402360, China.
Department of Gynaecology, Dazu Hospital of Chongqing Medical University, The People's Hospital of Dazu, Chongqing 402360, China.
World J Diabetes. 2022 Dec 15;13(12):1014-1034. doi: 10.4239/wjd.v13.i12.1014.
Diabetic foot ulcers (DFUs) have become one of the important causes of mortality and morbidity in patients with diabetes, and they are also a common cause of hospitalization, which places a heavy burden on patients and society. The prevention and treatment of DFUs requires multidisciplinary management. By controlling various risk factors, such as blood glucose levels, blood pressure, lipid levels and smoking cessation, local management of DFUs should be strengthened, such as debridement, dressing, revascularization, stem cell decompression and oxygen therapy. If necessary, systemic anti-infection treatment should be administered. We reviewed the progress in the clinical practice of treating DFUs in recent years, such as revascularization, wound repair, offloading, stem cell transplantation, and anti-infection treatment. We also summarized and prospectively analyzed some new technologies and measurements used in the treatment of DFUs and noted the future challenges and directions for the development of DFU treatments.
糖尿病足溃疡(DFUs)已成为糖尿病患者死亡和发病的重要原因之一,也是住院治疗的常见原因,给患者和社会带来了沉重负担。DFUs的预防和治疗需要多学科管理。通过控制血糖水平、血压、血脂水平和戒烟等各种风险因素,应加强DFUs的局部管理,如清创、换药、血管再通、干细胞减压和氧疗。必要时,应进行全身抗感染治疗。我们回顾了近年来治疗DFUs的临床实践进展,如血管再通、伤口修复、减压、干细胞移植和抗感染治疗。我们还总结并前瞻性分析了DFUs治疗中使用的一些新技术和措施,并指出了DFUs治疗未来面临的挑战和发展方向。