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糖尿病足溃疡的管理:一项叙述性综述。

Management of diabetic foot ulcers: a narrative review.

作者信息

Kim Jahyung, Nomkhondorj Otgonsaikhan, An Chi Young, Choi Ye Chan, Cho Jaeho

机构信息

Department of Orthopaedic Surgery, Armed Forces Yangju Hospital, Yangju, Korea.

Department of Orthopaedic Surgery, Hallym University Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon, Korea.

出版信息

J Yeungnam Med Sci. 2023 Oct;40(4):335-342. doi: 10.12701/jyms.2023.00682. Epub 2023 Sep 22.

Abstract

Diabetic foot ulcers (DFUs) are among the most serious complications of diabetes and are a source of reduced quality of life and financial burden for the people involved. For effective DFU management, an evidence-based treatment strategy that considers the patient's clinical context and wound condition is required. This treatment strategy should include conventional practices (surgical debridement, antibiotics, vascular assessment, offloading, and amputation) coordinated by interdisciplinary DFU experts. In addition, several adjuvant therapies can be considered for nonhealing wounds. In this narrative review, we aim to highlight the current trends in DFU management and review the up-to-date guidelines.

摘要

糖尿病足溃疡(DFUs)是糖尿病最严重的并发症之一,会降低患者的生活质量,并给相关人群带来经济负担。为了有效管理糖尿病足溃疡,需要一种基于证据的治疗策略,该策略要考虑患者的临床情况和伤口状况。这种治疗策略应包括由糖尿病足溃疡跨学科专家协调的传统治疗方法(手术清创、抗生素治疗、血管评估、减压和截肢)。此外,对于不愈合的伤口,可以考虑几种辅助治疗方法。在这篇叙述性综述中,我们旨在突出糖尿病足溃疡管理的当前趋势,并回顾最新指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1c2/10626295/e9b0921e80a3/jyms-2023-00682f1.jpg

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