Harley J R
Lexington Clinic, Kentucky.
Nurse Pract. 1993 Oct;18(10):37-8, 41-4. doi: 10.1097/00006205-199310000-00007.
Diabetic foot disease results from two common pathologies: peripheral vascular disease and diabetic neuropathy. If these pathologies are not identified, ulceration may occur in the foot. Ulcers can lead to infection and finally amputation. This article discusses the components of the physical exam, current treatment for both pathologies, and client education. Because the two pathologies are similar in presentation, it is important for clinicians to distinguish between the two pathologies. Careful attention to the feet during the physical exam and assessment for symptoms can help distinguish the two pathologies. There are new treatments available for peripheral vascular disease to improve the client's circulation. Treatment of peripheral neuropathy is usually palliative, but can improve the client's quality of life. Through early identification and treatment of peripheral vascular disease and diabetic neuropathy, clients with diabetes can avoid ulceration. Client education is central to the treatment plan.
外周血管疾病和糖尿病神经病变。如果这些病理状况未被识别，足部可能会发生溃疡。溃疡会导致感染，最终导致截肢。本文讨论了体格检查的内容、针对这两种病理状况的当前治疗方法以及患者教育。由于这两种病理状况在表现上相似，临床医生区分这两种病理状况很重要。在体格检查期间仔细关注足部并评估症状有助于区分这两种病理状况。外周血管疾病有新的治疗方法可改善患者的血液循环。糖尿病神经病变的治疗通常是姑息性的，但可以提高患者的生活质量。通过早期识别和治疗外周血管疾病和糖尿病神经病变，糖尿病患者可以避免溃疡。患者教育是治疗计划的核心。
