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中华损伤与修复杂志(电子版) ›› 2016, Vol. 11 ›› Issue (02) : 84 -89. doi: 10.3877/cma.j.issn.1673-9450.2016.02.002

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关于我国糖尿病足防治策略的探讨
关小宏1()   
  1. 1. 100142 北京,解放军空军总医院内分泌科
  • 收稿日期:2016-02-01 出版日期:2016-04-01
  • 通信作者: 关小宏
  • 基金资助:
    首都卫生发展科研专项课题(2014-2-5123)

Study on the prevention and treatment of diabetic foot in China

Xiaohong Guan1,()   

  1. 1. Department of Endocrinology, Air Force General Hospital of People′s Liberation Army, Beijing 100142, China
  • Received:2016-02-01 Published:2016-04-01
  • Corresponding author: Xiaohong Guan
  • About author:
    Corresponding author: Guan Xiaohong, Email:
引用本文:

关小宏. 关于我国糖尿病足防治策略的探讨[J/OL]. 中华损伤与修复杂志(电子版), 2016, 11(02): 84-89.

Xiaohong Guan. Study on the prevention and treatment of diabetic foot in China[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2016, 11(02): 84-89.

随着人们生活水平的不断提高以及糖尿病筛查方法的日益完善和规范,我国糖尿病的发病率呈显著升高趋势。糖尿病足是糖尿病慢性病变过程中发病率、致残率及致死率高的一种严重并发症,给患者的生活质量和生命预后带来严重威胁。为此,做好糖尿病足预防、降低糖尿病足发病率及早期诊断与治疗十分重要。应重视对患者血糖的全面管理:控制好空腹血糖、餐后2 h血糖,防止低血糖发生、提高糖化血红蛋白达标率;培养患者养成良好的生活习惯:搞好足部卫生,确保足健康,选择适当的鞋袜,防止足外伤,及时治疗足部疾病。通过多学科(内分泌科、骨科、血管外科)协作或建立创面修复平台(集内分泌科、骨科、介入科、血管外科等)形成专业团队,使糖尿病足治疗规范、高效,降低截肢率,提高治愈率。

With the continuous improvement of people′s living standard in our country and the more perfect diabetes screening method and specification, the incidence of diabetes in our country were significantly increased. Diabetic foot is a serious complication of diabetes with the high incidence rate, high disability rate and high fatality rate in the course of chronic diseases. Therefore, it is very important to prevent diabetic foot, reduce the incidence of diabetic foot and do early diagnosis and treatment. Medical workers should pay attention to blood sugar in patients with diabetes to conduct a comprehensive management: control 2 h postprandial blood glucose, prevent hypoglycemia, improve the standard rate of glycosylated hemoglobin, develop good living habits, do a good job of foot health, ensure full health, select the appropriate footwear, prevent foot injury, receive timely treatment of foot diseases. Treatment for diabetic foot is a system engineering, and hospitals should choose the way of multidisciplinary collaboration (such as endocrinology, orthopedic and vascular surgery) according to own actual situation, or create a wound repair platform (set of endocrinology, orthopedic, intervention, vascular surgery, etc) to form a professional team, and make the treatment of diabetic foot standardized, efficient, reduce the rate of amputation, improve the cure rate.

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