Specific problems of the diabetic foot in developing countries
Specific problems of the diabetic foot in developing countries
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DOI：
10.1002/dmrr.440
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发表时间：
2004-05-01
影响因子：
8
通讯作者：
Ramachandran, A
中科院分区：
文献类型：
--
作者：
Ramachandran, A
与许多发达国家一样，糖尿病足病也导致许多发展中国家出现严重的致残并发症，发病率很高，甚至可能导致截肢。然而，发展中国家有某些特定的文化和社会习惯，可能会使糖尿病患者面临更高的风险。神经病变的高患病率促进足部感染的复发，这些感染很少得到充分的治疗。附近医院缺乏设施和新陈代谢控制不佳是足部问题的主要促成因素。定期检查足部是否有神经病变和其他危险因素的迹象，将在预防这些并发症方面发挥重要作用。特别是鉴于神经病变的高患病率，医生对患者进行足部护理教育和早期预防措施，将有助于降低糖尿病足的发病率和经济负担。版权所有（C）2004约翰威利父子有限公司。
As in many developed countries, diabetic foot disease is also resulting in major debilitating complications with severe morbidity and possible amputations in many developing countries. The developing countries, however, have certain specific cultural and social habits that may put a person with diabetes at a higher risk. The high prevalence of neuropathy promotes recurrence of foot infections and these are seldom treated adequately. Lack of facilities in nearby hospitals and unsatisfactory metabolic control are major contributory factors for foot problems. Regular inspection of the feet for signs of neuropathy and other risk factors would play a major role in the prevention of these complications. Patient education for foot care and early institution of preventive measures by the medical practitioners, particularly in view of the high prevalence of neuropathy, will help in reducing the morbidity and economic burden from diabetic foot. Copyright (C) 2004 John Wiley Sons, Ltd.