摘要: Diabetic foot syndrome is a major complication for patients with diabetes mellitus. About 25% of the 6 million in Germany will suffer from diabetic at some point during course disease. neuropathy and peripheral vascular disease are main causative factors pathogenesis ulcers. The mortality rate these more than twice as high that average population. costs incurred by spent on ulcers, 50% hospital days attributed to treatment syndrome. This also most common cause non-traumatic amputations. Both risk amputation much increased case Hence, aim lower still number amputations appropriate preventive measures well multidisciplinary diagnostics therapy.
springer.com
sci-hub.se 参考文章(30)
G. Rümenapf, S. Morbach, W. Lang, Diagnostik und Therapie des diabetischen Fußsyndroms aus gefäßchirurgischer Sicht Orthopade. ,vol. 38, pp. 1187- 1194 ,(2009) , 10.1007/S00132-009-1505-8
G. Rümenapf, S. Dittler, S. Morbach, K. Amendt, A. Radu, Interdisziplinäre Wundzentren in der Behandlung des diabetischen Fußsyndroms Chirurg. ,vol. 79, pp. 535- 545 ,(2008) , 10.1007/S00104-008-1502-1
D. G. Armstrong, L. A. Lavery, L. B. Harkless, Validation of a Diabetic Wound Classification System: The contribution of depth, infection, and ischemia to risk of amputation Diabetes Care. ,vol. 21, pp. 855- 859 ,(1998) , 10.2337/DIACARE.21.5.855
J. Apelqvist, J. Castenfors, J. Larsson, A. Stenstrom, C.-D. Agardh, Prognostic value of systolic ankle and toe blood pressure levels in outcome of diabetic foot ulcer Diabetes Care. ,vol. 12, pp. 373- 378 ,(1989) , 10.2337/DIACARE.12.6.373
G Tepe, [The diabetic foot syndrome: pathogenesis, diagnosis and interventional treatment]. Deutsche Medizinische Wochenschrift. ,vol. 134, pp. 1006- 1010 ,(2009) , 10.1055/S-0029-1222561
M. J. Young, A. J. M. Boulton, A. F. Macleod, D. R. R. Williams, P. H. Sonksen, A multicentre study of the prevalence of diabetic peripheral neuropathy in the United Kingdom hospital clinic population Diabetologia. ,vol. 36, pp. 150- 154 ,(1993) , 10.1007/BF00400697
F. William Wagner, The Dysvascular Foot: A System for Diagnosis and Treatment: Foot & Ankle International. ,vol. 2, pp. 64- 122 ,(1981) , 10.1177/107110078100200202
Creutzig, Lehmacher, Elze, Meta-analysis of randomised controlled prostaglandin E1 studies in peripheral arterial occlusive disease stages III and IV. Vasa-european Journal of Vascular Medicine. ,vol. 33, pp. 137- 144 ,(2004) , 10.1024/0301-1526.33.3.137
Jan Larsson, Carl-David Agardh, Jan Apelqvist, Anders Stenstr??m, Long-term prognosis after healed amputation in patients with diabetes. Clinical Orthopaedics and Related Research. ,vol. 350, pp. 149- 158 ,(1998) , 10.1097/00003086-199805000-00021
P. Holstein, N. Ellitsgaard, B. Bornefeldt Olsen, V. Ellitsgaard, Decreasing incidence of major amputations in people with diabetes. Diabetologia. ,vol. 43, pp. 844- 847 ,(2000) , 10.1007/S001250051459