近年来,随着生活水平的不断提高,中国糖尿病患者的数量,以及与疾病相关的并发症的发生率,一直在增加。在这些并发症中,糖尿病足是糖尿病患者致残和死亡的主要原因之一。由于经济上的差异,文化,不同地区的宗教和医疗水平,糖尿病足的预防和治疗方法及疗效差异很大。在围绕糖尿病足建立的多学科模型中,及时评估和诊断伤口以及适当的内外手术预防和治疗方法是这种病理临床实践的关键。2019年,在江苏省医学会和中国糖尿病学会的领导下,在内分泌学专业领域的学者的参与下,成立了《糖尿病足病预防和管理多学科方法指南》(2020年版)的编写小组,烧伤,血管手术,骨科,足踝外科和心脏病学.借鉴其他国家糖尿病足指南,本指南分析了糖尿病足的临床实践,根据我国病理学的特点,对其理论基础和等级进行了查询,并给出了建议。本文从糖尿病足的评估和诊断开始,然后详细描述糖尿病足的治疗方法,并以保护高风险的脚和预防溃疡结束。这份手稿涵盖了内科学的学科,外科,护理和康复,并描述了总共50条建议,我们希望这些建议将为治疗糖尿病足的临床医生提供程序和方案。
In recent years, as living standards have continued to improve, the number of diabetes patients in China, along with the incidence of complications associated with the disease, has been increasing. Among these complications, diabetic foot disease is one of the main causes of disability and death in diabetic patients. Due to the differences in economy, culture, religion and level of medical care available across different regions, preventive and treatment methods and curative results for diabetic foot vary greatly. In multidisciplinary models built around diabetic foot, the timely assessment and diagnosis of wounds and appropriate methods of prevention and treatment with internal and external surgery are key to clinical practice for this pathology. In 2019, under the leadership of the Jiangsu Medical Association and Chinese Diabetes Society, the writing group for the
Guidelines on multidisciplinary approaches for the prevention and management of diabetic foot disease (2020 edition) was established with the participation of scholars from the specialist areas of endocrinology, burn injury, vascular surgery, orthopedics, foot and ankle surgery and cardiology. Drawing lessons from diabetic foot
guidelines from other countries, this guide analyses clinical practices for diabetic foot, queries the theoretical basis and grades and gives recommendations based on the characteristics of the pathology in China. This paper begins with assessments and diagnoses of diabetic foot, then describes treatments for diabetic foot in detail, and ends with protections for high-risk feet and the prevention of ulcers. This manuscript covers the disciplines of internal medicine, surgical, nursing and rehabilitation and describes a total of 50 recommendations that we hope will provide procedures and protocols for clinicians dealing with diabetic foot.