摘要
糖尿病足是糖尿病最严重的慢性并发症之一,因其治疗费用高、难度大,重者可能导致截肢,甚至死亡,给家庭和社会造成了巨大的负担。糖尿病足的治疗从简单换药、清创、抗感染治疗到血管重建、减压技术、胫骨横向骨搬移术、各种新型敷料的使用、自体富血小板凝胶技术再到生物蛆虫清创治疗、中西医结合治疗、干细胞疗法等新兴的糖尿病足治疗手段,使糖尿病足的治疗得到了快速的发展,然而目前很多医院糖尿病足的治疗没有打破学科壁垒、基层医院应对能力不足、外科医生对糖尿病足的经验有待提高、加之糖尿病足的治疗受多重因素的影响,目前仍有着严峻的挑战,本文综述了国内外近20年糖尿病足的治疗进展,以期为临床提供依据。
Diabetic foot is one of the most serious chronic complications of diabetes.Due to the high cost and difficulty of treatment,diabetic foot can lead to amputation or even death,which poses a great burden for families and society.The treatment of diabetic foot has been rapidly developed from simple dressing change,debridement and anti-infection treatment to vascular reconstruction,decompression technology,Transverse tibial bone transfer,the use of various new dressings,autologous platelet-rich gel technology,to maggot debridement therapy,integrated traditional Chinese and western medicine treatment,stem cell therapy and other emerging treatment methods for diabetic foot.However,at present,the treatment of diabetic foot in many hospitals has not broken the disciplinary barriers,the basic hospitals do not have enough capacity to deal with diabetic foot,the experience of surgeons on diabetic foot needs to be improved,and the treatment of diabetic foot is affected by multiple factors,so there are still severe challenges.This paper reviews the treatment progress of diabetic foot in the past 20 years at home and abroad,in order to provide clinical basis.
作者
谢树英
周艳辉
XIE Shuying;ZHOU Yanhui(School of Nursing,University of South China,Hunan Province,Hengyang421001,China;Department of Nursing,the First Affiliated Hospital of University of South China,Hunan Province,Hengyang421001,China)
出处
《中国当代医药》
CAS
2023年第14期32-35,共4页
China Modern Medicine
基金
湖南省科学技术厅临床医疗技术创新引导项目(2020SK51813)。
关键词
糖尿病足
感染
治疗方法
研究进展
Diabetic foot
Infection
Treatment methods
Research progress
