负压伤口疗法在糖尿病足创面治疗中的应用全国专家共识(2021版)

National expert consensus on the application of negative pressure wound therapy in the treatment of diabetic foot wounds (2021 version)

糖尿病足具有较高的致残率和致死率,负压伤口疗法(NPWT)是治疗糖尿病足创面的有效技术之一,但不规范的应用往往导致感染、出血、坏死等并发症,严重影响治疗结局。中国海峡两岸医药卫生交流协会烧创伤暨组织修复专委会组织烧伤科、骨科、血管外科、内分泌科、创面修复科等从事糖尿病足治疗的专家共同讨论和编写了《负压伤口疗法在糖尿病足创面治疗中的应用全国专家共识(2021版)》。本共识以循证医学证据为基础,结合最新的临床研究进展,旨在形成NPWT治疗糖尿病足创面的规范化方案,供临床医师参考,以促进糖尿病足临床诊疗水平的提高。

Diabetic foot has a high rate of disability and mortality.Negative pressure wound therapy(NPWT)is one of the effective techniques in treating diabetic foot wounds,but the non-standard use of it often leads to infections,bleeding,necrosis and other complications,seriously affecting the outcome.Tissue Repair of Burns and Trauma Committee and Cross-Straits Medicine Exchange Association organized experts of multiple disciplinary specialties including burns,orthopedics,vascular surgery,endocrinology,wound repair,who are engaged in the treatment of diabetic foot to discuss and write the"National expert consensus on the application of negative pressure wound therapy in the treatment of diabetic foot wounds(2021 version)".This consensus is based on evidence-based medicine and combined with the latest clinical research progress,aiming to form a standardized plan for the treatment of diabetic foot wounds with NPWT.It can be used as a reference for clinicians,so as to promote the improvement of clinical diagnosis and treatment of diabetic foot.