Interpretation and comparison of guidelines for diagnosis and treatment of diabetic foot between International Working Group on Diabetic Foot and Chinese Diabetes Society

Q4 Medicine

中华内分泌代谢杂志 Pub Date : 2020-03-25 DOI:10.3760/CMA.J.CN311282-20190723-00290

Hui Yang, Xinjuan Sun, Z. Hu, Yin-chen Chen

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Abstract

This exploratory study attempted to establish the rules in diagnosis and treatment of diabetic foot, through interpretation and comparison of the guidelines for diabetic foot from domestic with international ones. The document provided comparison between Guidelines of International Working Group on Diabetic Foot (IWGDF) and Chinese Diabetes Society (CDS) in 2019, related to diabetic foot disease on: methodology, content, prevention, offloading, peripheral artery disease (PAD), infection, wound healing interventions, and classification of diabetic foot ulcers. Prevention of ulcers in persons with diabetes foot is very important, and a non-removable offloading device is the first-choice of offloading treatment; Surgical indications and reasonable treatment should be mastered in PAD; Different anti-infection treatments, including surgical debridement, should be used base on the severity of foot infection; There are lots of treatments to improve healing, however the Grand Standard of medical evidence is not very high; There are a larger number of proposed classifications and scoring systems for diabetic foot, but none of them could cover all the needs of diagnosis and treatment. Thus, the principles outlined have to be adapted or modified by our health care professionals, based on local circumstances, to develop a standardizated procedure in diagnosis and treatment of diabetic foot. Key words: Diabetic foot; Guidelines; International Working Group on Diabetic Foot; Chinese Diabetes Society

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国际糖尿病足工作组与中国糖尿病学会糖尿病足诊疗指南的解读与比较

本研究通过对国内外糖尿病足指南的解读和比较，试图建立糖尿病足的诊断和治疗规则。该文件比较了2019年国际糖尿病足工作组（IWGDF）和中国糖尿病学会（CDS）关于糖尿病足疾病的指南：方法、内容、预防、卸载、外周动脉疾病（PAD）、感染、伤口愈合干预和糖尿病足溃疡的分类。预防糖尿病足溃疡非常重要，不可拆卸的卸载装置是卸载治疗的首选；PAD应掌握手术指征及合理治疗；应根据足部感染的严重程度使用不同的抗感染治疗方法，包括手术清创术；有很多治疗方法可以改善愈合，但医学证据的总体标准不是很高；糖尿病足的分类和评分系统有很多，但都不能满足诊断和治疗的所有需求。因此，我们的医疗保健专业人员必须根据当地情况对所概述的原则进行调整或修改，以制定糖尿病足诊断和治疗的标准化程序。关键词：糖尿病足；指导方针；糖尿病足国际工作组；中国糖尿病学会

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来源期刊

中华内分泌代谢杂志 Medicine-Endocrinology, Diabetes and Metabolism

CiteScore

0.60

自引率

0.00%

发文量

7243

期刊介绍： The Chinese Journal of Endocrinology and Metabolism was founded in July 1985. It is a senior academic journal in the field of endocrinology and metabolism sponsored by the Chinese Medical Association. The journal aims to be the "Chinese broadcaster of new knowledge on endocrinology and metabolism worldwide". It reports leading scientific research results and clinical diagnosis and treatment experience in endocrinology and metabolism and related fields, as well as basic theoretical research that has a guiding role in endocrinology and metabolism clinics and is closely integrated with clinics. The journal is a core journal of Chinese science and technology (a statistical source journal of Chinese science and technology papers), and is included in Chinese and foreign statistical source journal databases such as the Chinese Science and Technology Papers and Citation Database, Chemical Abstracts, and Scopus.