Frykberg R G
Department of Surgery at Beth Israel Deaconess Medical Center, Boston, USA.
Adv Wound Care. 1998 Mar-Apr;11(2):71-7.
A significant reduction in the incidence of ulceration, infection, and lower extremity amputation can be realized through the institution of an organized foot care service in community and major academic medical centers. A multidisciplinary team approach has proven to be the most effective means of providing treatment and preventing foot lesions in the diabetic patient. Aside from prevention and early intervention, education is an essential component in overall patient management. In the scheme presented in this article, outpatient management is optimized through the services of numerous specialists dedicated to limb preservation. Risk factors must be evaluated, risk status determined, and preventive measures taken to preserve an intact foot. Ulcers must be thoroughly evaluated and appropriately treated through established protocols utilizing all members of the team. When acute problems present, they are more efficiently managed and coordinated by this approach, thereby reducing lengths of hospital stay, morbidity, and loss of limbs.
通过在社区和主要学术医疗中心建立有组织的足部护理服务，可以显著降低溃疡、感染和下肢截肢的发生率。多学科团队方法已被证明是为糖尿病患者提供治疗和预防足部病变的最有效手段。除了预防和早期干预外，教育是整体患者管理的重要组成部分。在本文提出的方案中，通过众多致力于肢体保全的专家的服务，门诊管理得以优化。必须评估风险因素，确定风险状况，并采取预防措施以保全完整的足部。必须通过既定方案，利用团队所有成员对溃疡进行全面评估并进行适当治疗。当出现急性问题时，通过这种方法可以更有效地进行管理和协调，从而缩短住院时间、降低发病率并减少肢体缺失。
