围手术期糖尿病足患者管理的研究进展

Research progress in management of diabetic foot patients during perioperative period

糖尿病足是糖尿病患者由于神经病变致下肢保护功能减退,和/或血管病变致下肢动脉灌注不足,发生的足部溃疡和/或坏疽的疾病状态,其治疗需要多学科合作,包括清创、矫形及血管重建等手术治疗。然而糖尿病足患者多伴有不同程度的心脑血管疾病、肾功能及代谢紊乱等异常,给外科手术清创带来极大的困难。因此,良好的围手术期管理在糖尿病足治疗中非常重要。本文对目前国内外围手术期糖尿病足患者管理进行综述,旨在为糖尿病足的综合治疗提供参考。

Diabetic foot is a disease state that foot ulcers and/or gangrene occur in diabetic patients due to the hypoprotective function of lower limbs caused by neuropathy and the insufficient arterial perfusion of lower limbs caused by（or） vascular lesions. Its treatment requires multidisciplinary cooperation, including debridement, orthopedics, and vascular reconstruction surgical treatment. However, patients with diabetic foot often suffer from cerebrovascular diseases, renal dysfunction, and metabolic disorders, which brings great difficulties to surgical debridement. Therefore, good perioperative management is very important in the treatment of diabetic foot. This article reviews the current management of peripheral diabetic foot patients in China, and aims to provide evidence for the comprehensive treatment of diabetic foot.