糖尿病足的预防及治疗进展
Advances in Prevention and Treatment of Diabetic Foot
DOI: 10.12677/ACM.2020.107181, PDF,   
作者: 钱洪发, 张韵凯, 吴 亮*：中国药科大学，江苏 南京
关键词: 糖尿病；糖尿病足；预防；治疗；Diabetes Mellitus； Diabetic Foot； Prevention； Treatment
摘要: 糖尿病足为糖尿病后期严重并发症，是一种常见的致残性溃疡，患者截肢及死亡率很高。糖尿病足的发病机制复杂，临床表现多变。治疗早期应以预防溃疡出现为主，针对周围神经病变和关节活动受限引起的感染、外周缺血和感觉异常等进行干预。若感染溃疡出现，应及时采用内科及外科手术疗法辅助治疗，以降低截肢及死亡率。本文主要对糖尿病足在临床上的预防手段、内科疗法及外科手术辅助疗法进行综述。
Abstract: Diabetic foot is a serious complication of late diabetes and is a common disabling ulcer with a high rate of amputation and mortality. The pathogenesis of diabetic foot is complex and the clinical manifestations are variable. Early treatment should focus on preventing the appearance of ulcers, with interventions targeting infections, peripheral ischemia, and sensory abnormalities caused by peripheral neuropathy and joint motion restriction. If infected ulcers are present, prompt medical and surgical treatment should be adjunctive to reduce amputation and mortality. This article will review the means of prevention, internal medicine therapies and surgical adjuncts for the diabetic foot in clinical practice.
文章引用：钱洪发, 张韵凯, 吴亮. 糖尿病足的预防及治疗进展[J]. 临床医学进展, 2020, 10(7): 1186-1190. https://doi.org/10.12677/ACM.2020.107181

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