糖尿病足溃疡是较为普遍且致残的糖尿病并发症,在引发显著的致死率和致残率的同时导致了世界范围的社会经济问题。糖尿病足溃疡容易形成慢性创面且导致下肢的截肢。糖尿病足溃疡的发病机制复杂,可能与周围神经病变、外周血管病变所致的缺血以及生物力学异常有关。微血管病变同样也是糖尿病患者所需面对的一个重要问题,且促进了糖尿病足溃疡的发生。有效的糖尿病足溃疡管理措施包括清创术、控制感染、减压装置的使用和必要时的血管重建。足溃疡往往与导致足部浮肿的感染及炎症相关。标准的减压装置包括全接触支具和可拆卸行走支具,不能有效的减少足部水肿。有证据表明间断充气压力装置能够有效减轻糖尿病足患者的足部浮肿并促进溃疡愈合。本文的目的是评价足部浮肿与糖尿病足溃疡的相关性,包括减轻浮肿装置所起到的作用。本文所提供的信息对于糖尿病足溃疡管理者十分重要。 Diabetic foot ulcers are more common and maladaptive complications of diabetes that cause significant socio-economic problems worldwide while causing significant lethality and morbidity. Diabetic foot ulcers tend to form chronic wounds and cause amputation of the lower extremities. The pathogenesis of diabetic foot ulcers is complex and may be related to peripheral neuropathy, ischemia caused by peripheral vascular lesions and biomechanical abnormalities. Microvascular disease is also an important problem facing patients with diabetes, and promote the development of diabetic foot ulcers. Effective management of diabetic foot ulcers include debridement, infection control, use of decompression devices, and vascular revascularization if necessary. Foot ulcers are often associated with infections and inflammation that cause puffy feet. Standard decompression devices include full contact brace and removable walking brace, can not effectively reduce foot edema. There is evidence that intermittent inflation pressure device can effectively reduce foot swelling in diabetic foot patients and promote ulcer healing. The purpose of this article is to evaluate the association of foot edema with diabetic foot ulcers, including reducing the effects of edema devices. The information provided in this article is important for diabetic foot ulcer managers.