[1]徐俊,许樟荣.国际糖尿病足工作组《糖尿病足溃疡周围动脉病变诊断、预后与管理指南(2019版)》解读[J].国际内分泌代谢杂志,2021,41(02):142-144.[doi:10.3760/cma.j.cn121383-20210109-01022]
　Xu Jun,Xu Zhangrong..Interpretation of guideline on diagnosis, prognosis and management of peripheral artery disease in patients with a foot ulcer and diabetes(2019 edition)by International Working Group on the Diabetic Foot[J].International Journal of Endocrinology and Metabolism,2021,41(02):142-144.[doi:10.3760/cma.j.cn121383-20210109-01022]
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国际糖尿病足工作组《糖尿病足溃疡周围动脉病变诊断、预后与管理指南(2019版)》解读()
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《国际内分泌代谢杂志》[ISSN:1673-4157/CN:12-1383/R]

卷:
41
期数:
2021年02期
页码:
142-144
栏目:
指南与共识
出版日期:
2021-03-20

文章信息/Info

Title:
Interpretation of guideline on diagnosis, prognosis and management of peripheral artery disease in patients with a foot ulcer and diabetes(2019 edition)by International Working Group on the Diabetic Foot
作者:
徐俊1; 许樟荣2
1天津医科大学朱宪彝纪念医院、天津市内分泌研究所、国家卫生健康委员会激素与发育重点实验室、天津市代谢性疾病重点实验室,糖尿病足病科 300134; 2战略支援部队特色医学中心糖尿病中心,北京 100101
Author(s):
Xu Jun1;  Xu Zhangrong2.
1NHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Department of Diabetic Foot, Chu Hsien-Ⅰ Memorial Hospital & Tianjin Institute of Endocrinology, Tianjin Medical University, Tianjin 300134, Chin
关键词:
糖尿病足;  周围动脉病变;  诊断;  预后;  管理;  指南解读
Keywords:
Diabetic foot;  Peripheral artery disease;  Diagnosis;  Prognosis;  Management;  Guideline interpreting
DOI:
10.3760/cma.j.cn121383-20210109-01022
摘要:
国际糖尿病足工作组《糖尿病足溃疡周围动脉病变诊断、预后与管理指南(2019版)》在2015版的基础上进行了内容的更新。按照患者-干预-比较-结局(PICO)原则,编委会提出8个临床问题,在循证医学基础上进行文献系统评价,从诊断、预后和管理3个方面提出了17条建议,从而指导从事糖尿病足的医护人员在周围动脉病变方面规范诊断、治疗及预后。笔者结合当前的国内外有关糖尿病足临床指南及临床经验对该指南加以解读。
Abstract:
The guideline for diagnosis, prognosis and management of diabetic foot ulcer peripheral artery disease(2019 edition)by international diabetic foot working group was updated on the basis of 2015 edition. According to the principle of patient-intervention-comparison-outcome(PICO), the editorial board put forward 8 clinical problems. Based on the systematic literature review of evidence-based medicine, the editorial board gave 17 recommendations from three aspects of diagnosis, prognosis and management, so as to guide the medical staff engaged in diabetic foot to standardize the diagnosis, treatment and prognosis of peripheral arterial disease.

参考文献/References:

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[2] 许樟荣,冉兴无.国际糖尿病足工作组:糖尿病足溃疡周围动脉病变诊断、预后与管理指南(2019版)[J].感染、炎症、修复,2019,20(4):195-206.DOI:10. 3969/j. issn. 1672-8521. 2019. 04. 001.
[3] Zhang X,Ran X,Xu Z,et al; China DIA-LEAD Study Investigators. Epidemiological characteristics of lower extremity arterial disease in Chinese diabetes patients at high risk:a prospective,multicenter,cross-sectional study[J].J Diabetes Complications,2018,32(2):150-156.DOI:10.1016/j.jdiacomp.2017.10.003.
[4] 徐俊,许樟荣. 国际糖尿病足工作组《糖尿病足溃疡分类指南(2019版)》解读[J].国际内分泌代谢杂志,2021,41(1):68-70.DOI:10.3760/cma.j.cn121383-20201021-10025.
[5] 中华医学会糖尿病分会,中华医学会感染病学分会,中华医学会组织修复与再生分会. 中国糖尿病足防治指南(2019 版)(Ⅱ)糖尿病下肢血管病变[J].中华糖尿病杂志,2019,11(3):161-189.DOI:10.3760/cma.j.issn.1674-5809.2019.03.005.
[6] Morbach S,Furchert H,Gröeblinghoff U, et al. Long-term prognosis of diabetic foot patients and their limbs:amputation and death over the course of a decade[J].Diabetes Care,2012,35(10):2021-2027.DOI:10.2337/dc12-0200.
[7] Schaper NC,Andros G,Apelqvist J,et al. Diagnosis and treatment of peripheral artery disease in diabetic patients with a foot ulcer. A progress report of the International Working Group on the Diabetic Foot[J].Diabetes Metab Res Rev,2012,28(Suppl 1):218-224.DOI:10.1002/dmrr.2255.
[8] Hinchliffe RJ,Brownrigg JR,Andros G,et al. Effectiveness of revascularisation of the ulcerated foot in patients with diabetes and peripheral artery disease:a systematic review[J].Diabetes Metab Res Rev,2016,32(Suppl 1):136-144.DOI:10.1002/dmrr.2705.

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备注/Memo

备注/Memo:
通信作者:徐俊,xujun0602@163.com 基金项目:国家自然科学基金(81670766)
更新日期/Last Update: 2021-03-20