糖尿病足治疗新进展

糖尿病足溃烂是糖尿病的常见慢性并发症,以高发生率、高致残率、经济负担重,治疗时间长及高死亡率严重影响病人的生活质量甚至威胁生命,我国糖尿病协会于2010年11月14公布我国糖尿病的患病者已达9240万,除此之外糖尿病前期患者已达1.482亿。而在糖尿病患者中糖尿病足的发病率达到1.7%-11.9%;糖尿病患者中有15%的患者一生中有患糖尿病足的倾向,因此对于糖尿病足的治疗显得尤为重要,本文从糖尿病足的病因、机制,微环境变化着手,重点阐述糖尿病足传统的中西医疗法及目前的手术、介入及干细胞治疗方法的近况,旨在探讨各种方法的优点和不足及可开拓的空间,为进一步治疗糖尿病足提供一定的理论依据,为糖尿病足新方法的研究提供一些新的思维方式。

New Progress on Treatment of Diabetic Foot

Diabetic foot ulceration is a common chronic complications of diabetes.With high incidence, high morbidity, economic burden, the long duration of treatment and high mortality seriously, it influences patients'' quality of life and even threatens their lives, our Diabetes Association in November 2010, announced that the prevalence of diabetes in China has reached 92.4 million, in addition to patients with pre-diabetes has reached 148.2 million. In the incidence of diabetes in patients with diabetic foot reach 1.7% -11.9%; 15% of the patients with diabetes suffer from diabetic foot, so it is particularly important to treat diabetic foot. This article is based on the change of diabetic foot mechanisms, micro-environment, focuses on recent therapy of traditional Chinese and Western medicine and surgery, intervene and stem cell treatment of diabetic foot, aims to explore the advantages and disadvantages of the various methods and to open up the space for further treatment of diabetes, which provide a certain theoretical basis for the study of new methods and some new ways of thinking.