| 奈瑟·赛德·奥卡特.糖尿病足治疗新进展[J].中国烧伤创疡杂志,2012,24(4):303. |
| DOI：10.3969/j.issn.1001-0726.2012.4.011 |
| 中文关键词: |
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| 中文摘要: |
| 糖尿病足是由于糖尿病血管神经病变引起的下肢病变的总称, 是糖尿病的严重并发症。其病因主要为糖尿病合并血管病变、神经病变、各种损伤及感染所致。目前的治疗方法主要为: 1． 基础治疗: 控制血糖、抗感染、改善血液循环及神经功能等; 2． 局部创面治疗: 湿润烧伤膏(MEBO)、凝胶制剂、生长因子等; 3． 外科手术治疗: 手术植皮、介入疗法、血管重建术、神经松解术等。临床体会: 在基础治疗全身状况稳定后, 创面局部清创, 外用MEBO 能够显著提高创面愈合率, 避免截肢之苦。 |
| 英文摘要: |
| Diabetic foot is a general name of lower extremity lesions caused by diabetic neuropathy and vascular diseases
and is a severe complication of diabetes. The causes of diabetic foot are diabetes complicated with vascular diseases,
neuropathy, various injuries and/ or infection. At present, the treatment approaches mainly include: 1). Systemic treatments:
control blood sugar, prevent infection and improve blood circulation and nervous functions, etc. ; 2). Topical treatments: MEBO,
gel preparation, growth factors and etc. ; 3). Surgery: skin grafting, intervention therapy, revascularization, neurolysis,
etc. The clinical experience is that under the premise of stabilizing the systemic conditions by systemic treatment, debriding the
wound, applying MEBO externally can significantly improve the curative rate and avoid amputation. |
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