摘要
5％～10％的糖尿病患者由于合并神经病变及不同程度的血管病变而发生下肢感染、溃疡和（或）深部组织的损伤，进而增加了截肢、致残和致死的危险性。清创技术以逐步外科清创为原则，有把慢性伤口转变为急性伤口等作用。清创技术可分为机械性方法（如手术清创和蛆虫清创）和非机械性方法（如酶制剂和水凝胶），适用于不同的创面。清创应按照由外至里的步骤，直至出血或坚硬的地方。合理清创可减少糖尿病足溃疡的截肢率。
5%-10% of diabetic patients arise lower extremity infection, ulcer and deep tissue dam- age which occur as a consequence of neuropathy and various degrees of vasculopathy. Diabetic foot ulcers （DFUs） increase the risk of amputations, morbidity and mortality. Debridement is performed gradually, and may transform a chronic wound into an acute one, which including mechanical methods （ eg. surgical debride- ment and maggot debridement） and non mechanical methods （eg. enzymes and gel） to encounter different wounds. On the other hand, debridement is performed step by step until the bleeding or hard places. Sufficient debridement could decrease amputation in DFUs.
出处
《国际内分泌代谢杂志》
北大核心
2012年第5期309-310,313,共3页
International Journal of Endocrinology and Metabolism
基金
南京军区重大科技基金资助项目（102014）
