The diabetic foot: a global view

The diabetic foot: a global view
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DOI:
10.1002/1520-7560(200009/10)16:1
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发表时间:
2000-09-01
影响因子:
8
通讯作者:
Boulton, AJM
Boulton, AJM
中科院分区:
医学2区
文献类型:
--
作者:
Boulton, AJM

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据估计,全世界超过1.5亿糖尿病患者中约有15%将在某个阶段发生糖尿病足溃疡。足部问题确实是一个全球性的问题,世界上没有一个地区没有报告足部病变的发展,主要是神经病变和外周血管疾病的结果。活动性足部溃疡的患病率从某些欧洲和北美研究中的约1%到一些非洲国家报告中的11%以上不等。虽然近年来有许多发展,鼓励对糖尿病足护理的未来改善持乐观态度,但仍有许多工作要做;荷兰最近的数据显示,通过协调一致的团队方法,有可能将提供足病服务的足部诊所数量增加100%以上。然而,许多国家仍然缺乏适当的足病治疗和专科护理服务,在下一个千年,仍有许多工作要做,以改善糖尿病患者的足部问题。版权所有(C)2000约翰威利父子有限公司
It is estimated that approximately 15% of the more than 150 million people with diabetes world-wide will at some stage develop diabetic foot ulceration. Foot problems are indeed a global problem and there is no area in the world that does not report the development of foot lesions as a consequence mainly of neuropathy and peripheral vascular disease. The prevalence of active foot ulceration varies from approximately 1% in certain European and North American studies to more than 11% in reports from some African countries. Although there have been many developments in recent years which encourage optimism for future improvement in diabetic foot care, there is still much to be done; the recent data from the Netherlands show that with a concerted team approach, it is possible to increase the numbers of foot clinics with the provision of podiatry services by more than 100%. However, many countries still lack proper podiatry and specialist nursing provision and there remains much to be done in the next millennium to improve the lot of the diabetic patient with foot problems. Copyright (C) 2000 John Wiley & Sons, Ltd.