Ogbeide Omo A, Okeleke Stephanie I, Okorie Joy C, Mandong Jagshak, Ajiboye Adetayo, Olawale Oluseyi O, Salifu Fuseina
General Medicine, Nuffield Health Plymouth Hospital, Plymouth, GBR.
Public Health, East Tennessee State University, Johnson, USA.
Cureus. 2024 Jul 22;16(7):e65095. doi: 10.7759/cureus.65095. eCollection 2024 Jul.
The prevalence of diabetic foot ulcers (DFUs) is projected to increase worldwide, which necessitates a review of the current management principles and the development of new approaches to care. The principles of management involve proper glycemic control, infection control, pressure redistribution, wound care debridement, and revascularization. Other modalities of management, such as hyperbaric oxygen therapy and negative wound pressure therapy, are also being explored. While some aspects of DFU care lack high-quality evidence, a multidisciplinary approach incorporating these evolving trends has the potential to improve outcomes and prevent lower extremity amputations in this challenging condition. This review highlights the need for further research to establish definitive treatment protocols for optimal DFU management.
预计全球糖尿病足溃疡(DFU)的患病率将会上升,这就需要重新审视当前的管理原则并开发新的护理方法。管理原则包括适当的血糖控制、感染控制、压力再分布、伤口护理清创以及血管再通。其他管理方式,如高压氧治疗和负压伤口治疗,也在探索之中。虽然DFU护理的某些方面缺乏高质量证据,但采用多学科方法并结合这些不断发展的趋势,有可能改善治疗效果并在这种具有挑战性的情况下预防下肢截肢。本综述强调了进一步开展研究以建立DFU最佳管理的明确治疗方案的必要性。