McNeil Scott, Waller Kate, Poy Lorenzo Yves S, Mateevici Olimpia C, Telianidis Stacey, Qi Sara, Churilov Irina, MacIsaac Richard J, Galligan Anna
High Risk Foot Service, St Vincent's Hospital Melbourne, Fitzroy 3065, Victoria, Australia.
Department of Endocrinology and Diabetes, St Vincent's Hospital Melbourne, Fitzroy 3065, Victoria, Australia.
World J Diabetes. 2023 Jul 15;14(7):942-957. doi: 10.4239/wjd.v14.i7.942.
Diabetes-related foot disease (DFD) is a widely feared complication among people who live with diabetes. In Australia and globally, rates of disability, cardio-vascular disease, lower extremity amputation, and mortality are significantly increased in patients with DFD. In order to understand and prevent these outcomes, we analyse the common pathogenetic processes of neuropathy, arterial disease, and infection. The review then summarises important management considerations through the interdisciplinary lens. Using Australian and international guidelines, we offer a stepwise, evidence-based practical approach to the care of patients with DFD.
糖尿病相关足部疾病（DFD）是糖尿病患者普遍惧怕的一种并发症。在澳大利亚乃至全球，DFD患者的残疾率、心血管疾病发生率、下肢截肢率及死亡率均显著升高。为了解并预防这些后果，我们分析了神经病变、动脉疾病及感染的常见发病机制。本综述随后从多学科角度总结了重要的管理考量因素。我们依据澳大利亚和国际指南，为DFD患者的护理提供了一种循序渐进、基于证据的实用方法。
