PDF(Pubmed)
Abstract：
Because China is becoming an aging society, the incidence of diabetes and diabetic foot have been increasing. Diabetic foot has become one of the main health-related killers due to its high disability and mortality rates. Negative pressure wound therapy (NPWT) is one of the most effective techniques for the treatment of diabetic foot wounds and great progress, both in terms of research and its clinical application, has been made in the last 20 years of its development. However, due to the complex pathogenesis and management of diabetic foot, irregular application of NPWT often leads to complications, such as infection, bleeding and necrosis, that seriously affect its treatment outcomes. In 2020, under the leadership of Burns, Trauma and Tissue Repair Committee of the Cross-Straits Medicine Exchange Association, the writing group for \'Consensus on the application of negative pressure wound therapy of diabetic foot wounds\' was established with the participation of scholars from the specialized areas of burns, endocrinology, vascular surgery, orthopedics and wound repair. Drawing on evidence-based practice suggested by the latest clinical research, this consensus proposes the best clinical practice guidelines for the application and prognostic evaluation of NPWT for diabetic foot. The consensus aims to support the formation of standardized treatment schemes that clinicians can refer to when treating cases of diabetic foot.
摘要：
因为中国正在成为一个老龄化社会，糖尿病和糖尿病足的发病率一直在增加。糖尿病足由于其高致残率和死亡率，已成为与健康相关的主要杀手之一。负压创面治疗(NPWT)是治疗糖尿病足创面最有效的技术之一,无论是研究还是临床应用,是在过去20年的发展中取得的。然而,由于糖尿病足的发病机制和管理复杂，NPWT的不规则应用通常会导致并发症，如感染，出血和坏死，严重影响其治疗结果。2020年，在伯恩斯的领导下，海峡两岸医药交流协会创伤与组织修复委员会，在烧伤专业领域的学者的参与下，成立了“关于糖尿病足伤口负压伤口治疗应用共识”的写作小组，内分泌学,血管手术,骨科和伤口修复。借鉴最新临床研究提出的循证实践，这项共识为糖尿病足NPWT的应用和预后评估提出了最佳临床实践指南.共识旨在支持临床医生在治疗糖尿病足病例时可以参考的标准化治疗方案的形成。
