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中国糖尿病足防治实践指南(Ⅱ)

Practical guideline on the prevention and management of diabetic foot in China

摘要糖尿病足是糖尿病患者常见的严重并发症之一,足畸形、溃疡、缺血以及可能合并的感染等是导致患者截肢和/或死亡的重要原因。为进一步规范我国糖尿病足防治实践过程,提升医疗同质化水平,推动专病分级诊疗体系建设,中华医学会烧伤外科学分会、长三角一体化糖尿病足专病联盟和《中华烧伤与创面修复杂志》编辑委员会组织多学科专家团队,确定糖尿病足诊断、治疗和预防等方面的临床问题,并运用推荐意见分级的评估、制订与评价系统评估相关证据的质量等级,制订了《中国糖尿病足防治实践指南》。该指南共形成了46条推荐意见,内容涵盖全面医学评估,控制血糖、血压、血脂及抗栓和抗感染等内科治疗,围手术期的风险评估和管理,清创、血管重建和组织修复手术等外科治疗,以及足病预防、多学科团队合作和分级诊疗体系建设等,旨在为中国糖尿病足的临床实践提供指导。

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abstractsDiabetic foot is one of the common and serious complications among the patients with diabetes mellitus. The major causes of amputation and/or death in the patients are foot deformities, ulcers, ischemia, and possible concurrent infections. To further standardize diabetic foot prevention and treatment in China, improve its diagnostic and therapeutic consistency, and promote the development of a specialized tiered care system, Chinese Burn Association, Yangtze River Delta Integrated Diabetic Foot Alliance, and Editorial Committee of Chinese Journal of Burns and Wounds organized a multidisciplinary expert team. The team determined clinical issues related to the diagnosis, treatment, and prevention of diabetic foot and evaluated the quality grades of relevant evidence using the grading of recommendations assessment, development and evaluation system, and eventually developed the Practical guideline on the prevention and management of diabetic foot in China. There were 46 recommendations formed in the guideline, covering comprehensive medical assessment, internal medical treatments such as control of blood glucose, blood pressure, and blood lipid, antithrombotic and anti-infection therapy, perioperative risk assessment and management, surgical treatments such as debridement, vascular reconstruction, and tissue repair surgeries, as well as foot disease prevention, multidisciplinary cooperation, and the construction of a tiered care system, aiming to provide guidance for the clinical practice of diabetic foot in China.

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