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中国临床研究:2026,39(1):22-27
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糖尿病足溃疡的研究进展
(1. 海南医科大学附属海南医院创伤骨科, 海南 海口 570311;2. 海南省人民医院 海南医科大学附属海南医院麻醉科,海南 海口 570311;3. 海南省人民医院 海南医科大学附属海南医院创伤骨科, 海南 海口 570311)
Research advances in diabetic foot ulcer
摘要
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投稿时间:2025-07-05   网络发布日期:2026-01-27
中文摘要: 糖尿病足溃疡(DFU)是糖尿病患者常见的并发症,严重影响患者的生活质量并增加截肢风险。高血糖、神经病变、血液循环不良和感染均是DFU发生的影响因素,但高血糖是最主要的,长期高血糖可诱导神经病变、血液循环不良和感染,探讨高血糖是如何导致DFU以及神经病变、血液循环不良和感染意义重大。近年来,研究者们对DFU的病理机制、临床诊断以及治疗策略进行了深入探讨,虽较前取得了明显进展,但在DFU的早期识别和有效管理上仍存在诸多挑战,特别在精准的发病机理、诊断标准构建、个体化治疗方案及特异性药物治疗方面仍存在诸多不足。为此,本文将从发病机制、诊断方法、治疗选择(包括传统疗法与新兴技术的结合)对DFU进行系统综述,旨在为临床实践提供参考。
Abstract:Diabetic foot ulcers(DFU)are a common complication in patients with diabetes,severely impacting their quality of life and increasing the risk of amputation. While hyperglycemia,neuropathy,poor circulation,and infection are all influencing factors to the development of DFU. Among them,hyperglycemia is the most significant one,as prolonged hyperglycemia can induce neuropathy,poor circulation,and infection. Therefore,it is crucial to explore how hyperglycemia leads to DFU and the roles of neuropathy,poor circulation,and infection in this process. In recent years,researchers have conducted in-depth investigations into the pathological mechanisms,clinical diagnosis,and treatment strategies for DFU. Although significant progress has been made compared to the past,numerous challenges remain in the early identification and effective management of DFU, particularly in understanding precise pathogenesis, establishing diagnostic criteria, developing individualized treatment plans, and finding specific pharmacological therapies. In light of this,this article provides a systematic review of DFU,focusing on its pathogenesis,diagnostic Methods,and treatment options(including the integration of conventional therapies and emerging technologies),with the aim of offering valuable insights for clinical practice.
文章编号:     中图分类号:R587.2    文献标志码:A
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引用文本:
董润,何思懿,李明东.糖尿病足溃疡的研究进展[J].中国临床研究,2026,39(1):22-27.

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