欢迎来到天天文库
浏览记录
ID:39778254
大小:70.04 KB
页数:9页
时间:2019-07-11
《Foot ulcers and amputations in diabetes》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、main/0602_new31/10/06DiabetesFootulcersandamputationsindiabetesSearchdateSeptember2005DereckHuntQUESTIONSWhataretheeffectsofpreventiveinterventionsinpeoplewithdiabetes?..............2Whataretheeffectsoftreatmentsinpeoplewithdiabeteswithfootulceration?.........4INTERVENTIONSPREVENTIONSyste
2、michyperbaricoxygen(forinfectedLikelytobebeneficialulcers)........................7ScreeningandreferraltofootcareclinicsTopicalgrowthfactors................6..............................0UnknowneffectivenessUnknowneffectivenessHumancultureddermis..............5Education..................
3、......3Pressureoff-loadingwithfeltedfoamorTherapeuticfootwear................3pressurereliefhalfshoe............4TREATMENTSystemichyperbaricoxygen(fornon-infectedBeneficialnon-ischaemiculcers)..............7Pressureoff-loadingwithnon-removablecast..............................0Seeglossary
4、LikelytobebeneficialHumanskinequivalent...............6KeyMessages•Diabeticfootulcerationisfullthicknesspenetrationofthedermisofthefootinapersonwithdiabetes.SeverityisclassifiedusingtheWagnersystem,whichgradesitfrom1to5.Theannualincidenceofulcersamongpeoplewithdiabetesis2.5-10.7%inthedev
5、elopedworld,andtheannualincidenceofamputationforanyreasonis0.25-1.8%.Forpeoplewithhealeddiabeticfootulcers,the5yearcumulativerateofulcerrecurrenceis66%andofamputationis12%.•Themosteffectivepreventativemeasureappearstobescreeningandreferraltoafootcareclinicifhighriskfeaturearepresent.Other
6、interventionsforreducingtheriskoffootulcersincludewearingtherapeuticfootwareandincreasingpatienteducationforprevention,butwedidnotfindsufficientevidencetoascertaintheeffectivenessofthesetreatments.•Pressureoff-loadingwithtotalcontactcastingornon-removablefibreglasscastssuccessfullyimprove
7、shealingofulcers.Removablecastwalkersrenderedirremovableappeartobeequallyaseffective,buthavetheaddedbenefitofrequiringlesstechnicalexpertiseforfitting.Wedidn’tfindsufficientevidencetojudgewhetherpressureoff-loadingwithfeltedfoamorpressurereliefhalfshoeswereaseffecti
此文档下载收益归作者所有