Literature review on the management of diabetic foot ulcer  

作　　者：Leila Yazdanpanah Morteza Nasiri Sara Adarvishi 

机构地区：[1]Health Research Institute, Diabetes Research Center, Ahvaz Jundishapur University of Medical Sciences [2]Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences

出　　处：《World Journal of Diabetes》2015年第1期37-53,共17页世界糖尿病杂志（英文版）（电子版）

基　　金：Supported by Health Research Institute,Diabetes Research Center,Ahvaz Jundishapur University of Medical Sciences,Ahvaz,Iran

摘　　要：Diabetic foot ulcer(DFU) is the most costly and devastating complication of diabetes mellitus, which affect 15% of diabetic patients during their lifetime.Based on National Institute for Health and Clinical Excellence strategies, early effective management of DFU can reduce the severity of complications such as preventable amputations and possible mortality, and also can improve overall quality of life. The management of DFU should be optimized by using a multidisciplinary team, due to a holistic approach to wound management is required. Based on studies, blood sugar control, wound debridement, advanced dressings and offloading modalities should always be a part of DFU management. Furthermore, surgery to heal chronic ulcer and prevent recurrence should be considered as an essential component of management in some cases. Also, hyperbaric oxygen therapy, electrical stimulation, negative pressure wound therapy, bio-engineered skin and growth factors could be used as adjunct therapies for rapid healing of DFU. So, it's suggested that with appropriate patient education encourages them to regular foot care in order to prevent DFU and its complications.Diabetic foot ulcer （DFU） is the most costly anddevastating complication of diabetes mellitus, whichaffect 15% of diabetic patients during their lifetime.Based on National Institute for Health and ClinicalExcellence strategies, early effective management ofDFU can reduce the severity of complications suchas preventable amputations and possible mortality,and also can improve overall quality of life. Themanagement of DFU should be optimized by using amultidisciplinary team, due to a holistic approach towound management is required. Based on studies, bloodsugar control, wound debridement, advanced dressingsand offloading modalities should always be a part ofDFU management. Furthermore, surgery to heal chroniculcer and prevent recurrence should be considered as anessential component of management in some cases. Also,hyperbaric oxygen therapy, electrical stimulation, negativepressure wound therapy, bio-engineered skin and growthfactors could be used as adjunct therapies for rapidhealing of DFU. So, it＇s suggested that with appropriatepatient education encourages them to regular foot carein order to prevent DFU and its complications.

关 键 词：Diabetes MELLITUS Wound MANAGEMENT DIABETIC FOOT ULCER AMPUTATION FOOT care 

分 类 号：R587.2[医药卫生—内分泌]