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糖尿病足是由于糖尿病血管神经病变引起的下肢病变的总称,是糖尿病的严重并发症。其病因主要为糖尿病合并血管病变、神经病变、各种损伤及感染所致。目前的治疗方法主要为:1.基础治疗:控制血糖、抗感染、改善血液循环及神经功能等;2.局部创面治疗:湿润烧伤膏(MEBO)、凝胶制剂、生长因子等;3.外科手术治疗:手术植皮、介入疗法、血管重建术、神经松解术等。临床体会:在基础治疗全身状况稳定后,创面局部清创,外用MEBO能够显著提高创面愈合率,避免截肢之苦。下图是临床应用的典型病例图片,详细病例资料请观看本期杂志所附光盘。
Diabetic foot is due to diabetic vascular neuropathy caused by lower limb lesions in general, is a serious complication of diabetes. The main causes of diabetes with vascular disease, neuropathy, caused by various injuries and infections. The current treatment methods are as follows: 1. Basic treatment: blood sugar control, anti-infection, improve blood circulation and neurological function; 2. Local wound treatment: MEBO, gel preparation, growth factor, etc .; 3. Surgical Surgical treatment: surgical skin grafting, interventional therapy, revascularization, neurolysis and so on. Clinical experience: In the basic treatment of stable systemic condition, the wound debridement, topical MEBO can significantly improve the wound healing rate, to avoid the pain of amputation. The following figure is a typical case picture of clinical application, the detailed case information, please view the issue of the magazine attached CD-ROM.