引用本文:许樟荣.糖尿病足病防治的关键
——解读2019国内外糖尿病足防治指南[J].中国临床新医学,2019,12(12):1259-1262.
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糖尿病足病防治的关键
——解读2019国内外糖尿病足防治指南
许樟荣
100101 北京,战略支援部队特色医学中心糖尿病中心
摘要:
[摘要] 该文简要解读2019年发布的《中国糖尿病足防治指南》和国际糖尿病足工作组(IWGDF)发布的《国际糖尿病足病预防与管理临床指南》,强调糖尿病足病防治中预防为主,防治结合和分级管理及多学科团队合作。足溃疡预防的关键因素为识别有溃疡风险的足;定期评估和检查有溃疡风险的足;为患者、家庭和医务人员开展健康教育;确保穿着合适的鞋子;管理足溃疡的危险因素。疑难复杂的糖尿病足病需要由多学科合作的糖尿病足病团队的综合管理。
关键词:  糖尿病足  足溃疡  足病危险因素  多学科合作
DOI:10.3969/j.issn.1674-3806.2019.12.01
分类号:R 587.2
基金项目:
Key points on prevention and management of diabetic foot disease—interpretation of domestic and international guidelines for prevention and treatment of diabetic foot disease in 2019
XU Zhang-rong
Diabetes Center, Characteristic Medical Center of Strategic Support Force, Beijing 100101, China
Abstract:
[Abstract] This paper briefly interprets the Guideline for the Prevention and Treatment of Diabetic Foot in China issued in 2019 and the International Clinical Guideline for the Prevention and Management of Diabetic Foot issued by the International Working Group on Diabetic Foot(IWGDF). Emphasis should be placed on prevention, combination of prevention and treatment, hierarchical management and multidisciplinary team cooperation. The key factors of foot ulcer prevention are identifying the foot with ulcer risk, regularly assessing and inspecting the foot with ulcer risk, carrying out health education for the patients and their families and medical staff, ensuring proper shoes and managing the risk factors of foot ulcer. The complicated diabetic foot needs to be managed by a multidisciplinary team of diabetic foot disease.
Key words:  Diabetic foot  Foot ulcer  Risk factors of foot ulcer  Multidisciplinary cooperation