全面系统评估--确保糖尿病足溃疡科学规范诊治的基础

Comprehensive and systematic evaluation:the basis of scientific and standardized diagnosis and treatment of diabetic foot ulcers

糖尿病足溃疡是糖尿病最严重的并发症之一。我国糖尿病足溃疡患者具有病情复杂、一般情况差、感染严重、预后不良等特点,认真实施针对糖尿病足溃疡患者的全面系统评估,包括全身状况评估、足部局部评估及心理疾患评估,是该病成功治疗的重要基础环节。该文就糖尿病足溃疡需评估的内容作一阐述,通过全面系统评估,可确保糖尿病足溃疡的科学规范诊治,降低其发病率和复发率,提高保肢率,并降低病死率。

Diabetic foot ulcer(DFU)is one of the most serious complications of diabetes mellitus.Considering complicated conditions,poor general condition,severe infection and poor outcomes as the feature characteristics of Chinese DFU patients,comprehensive and systematic evaluation,including general condition,region of the foot,and psychological status,is essential and fundamental for successful treatment.This commentary summarizes the evaluation contents in scientific and standardized diagnosis and treatment of diabetic foot ulcer,and looking forward to reducing morbidity,recurrence rate and mortality,and increasing limb salvage rate.