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糖尿病患者可能出现的各类伤口:一项叙述性综述

Various Types of Wounds That Diabetic Patients Can Develop: A Narrative Review.

作者信息

Jais Suriadi

机构信息

School of Nursing, The Institute of Technology and Health Muhammadiyah KALBAR, Pontianak, Indonesia.

Kitamura Wound Clinic, Pontianak, Indonesia.

出版信息

Clin Pathol. 2023 Oct 11;16:2632010X231205366. doi: 10.1177/2632010X231205366. eCollection 2023 Jan-Dec.

Abstract

Diabetic foot complications represent a substantial health burden and are the foremost cause of hospitalization in patients with diabetes. Diabetes mellitus (DM) is known to cause several other problems. Diabetes is rapidly becoming the leading cause of illness and death worldwide. Diabetic foot ulcers (DFU) are one of the most painful complications of diabetes. These complications cause problems in blood vessels, nerves, and other organs throughout the body. DFU pathophysiology is attributed to a triad of neuropathies, trauma with secondary infection, and arterial occlusive disease. This review aims to identify the types of wounds that diabetics can develop. Owing to the complexity of their disease pathology, diabetics are susceptible to a variety of wounds, such as diabetic ulcers due to trauma (DUDT); neuropathic, ischemic, neuroischemic, arterial, venous, and mixed wounds; and diabetic bullae, furuncles, cellulitis, and carbuncles. Therefore, it is essential for healthcare providers to recognize the specific classification of a diabetic wound based on its distinctive attributes to provide appropriate wound care and therapeutic interventions. In the context of individuals with diabetes, it is of paramount significance to precisely identify the types of wounds during the initial evaluation to provide appropriate care and treatment, thereby enhancing the probability of favorable outcomes.

摘要

糖尿病足并发症带来了沉重的健康负担,是糖尿病患者住院的首要原因。糖尿病(DM)已知会引发其他一些问题。糖尿病正迅速成为全球疾病和死亡的主要原因。糖尿病足溃疡(DFU)是糖尿病最痛苦的并发症之一。这些并发症会导致全身血管、神经和其他器官出现问题。DFU的病理生理学归因于神经病变、继发感染的创伤和动脉闭塞性疾病三联征。本综述旨在确定糖尿病患者可能出现的伤口类型。由于其疾病病理的复杂性,糖尿病患者易患多种伤口,如创伤性糖尿病溃疡(DUDT);神经性、缺血性、神经缺血性、动脉性、静脉性和混合性伤口;以及糖尿病大疱、疖、蜂窝织炎和痈。因此,医疗保健人员必须根据糖尿病伤口的独特属性识别其具体分类,以便提供适当的伤口护理和治疗干预措施。对于糖尿病患者而言,在初始评估期间精确识别伤口类型以提供适当的护理和治疗,从而提高获得良好预后的可能性至关重要。

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