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资源匮乏环境下糖尿病足溃疡的经济有效减压治疗:一例报告

Cost-Effective Offloading of Diabetic Foot Ulcer in a Resource-Crunch Setting: A Case Report.

作者信息

Tewari Jay, Roy Shubhajeet, Rana Anadika, Tewari Ajoy

机构信息

Internal Medicine, King George's Medical University, Lucknow, IND.

Faculty of Medicine, King George's Medical University, Lucknow, IND.

出版信息

Cureus. 2023 Dec 27;15(12):e51173. doi: 10.7759/cureus.51173. eCollection 2023 Dec.

Abstract

Diabetic foot ulcers (DFUs) pose a significant threat to people with diabetes, particularly in regions with limited healthcare resources, such as India. This case report focuses on a cost-effective offloading strategy for managing a chronic non-healing heel ulcer in a 55-year-old female with uncontrolled type 2 diabetes mellitus. While the gold standard for DFU management often involves total contact casts, this method may not be practical for all patients. Our approach involved repurposing used gloves and surgical paper tape for offloading, resulting in quick healing of the ulcer within six weeks. Achieving euglycemic status and sufficient wound debridement were key components of the treatment. This case highlights the importance of resource-efficient strategies in DFU management, especially in settings where traditional methods face practical limitations. Future research is needed to validate the efficacy of such approaches and pave the way for more accessible and effective treatments for DFUs.

摘要

糖尿病足溃疡(DFUs)对糖尿病患者构成了重大威胁,在医疗资源有限的地区,如印度,情况尤为严重。本病例报告重点介绍了一种经济高效的减压策略,用于治疗一名55岁、2型糖尿病控制不佳的女性患者的慢性足跟溃疡。虽然糖尿病足溃疡管理的金标准通常包括全接触石膏,但这种方法并非对所有患者都适用。我们的方法是重新利用用过的手套和手术胶带进行减压,使溃疡在六周内迅速愈合。实现血糖正常状态和充分的伤口清创是治疗的关键组成部分。本病例突出了资源高效策略在糖尿病足溃疡管理中的重要性,特别是在传统方法面临实际限制的情况下。未来需要开展研究以验证此类方法的疗效,并为更易获得和有效的糖尿病足溃疡治疗铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1838/10815781/2a20d6c8c232/cureus-0015-00000051173-i01.jpg

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