糖尿病足病的全球负担 糖尿病足病的全球负担
Andrew J M Boulton1, Loretta Vileikyte, Gunnel Ragnarson-Tennvall
1Department of Medicine, University of Manchester, Manchester, UK. aboulton@med.miami.edu
Lancet (London, England)
|November 18, 2005
概括
糖尿病足可以通过早期识别和教育来预防. 综合护理方法可以显著降低与这种常见糖尿病并发症相关的医疗保健成本.
科学领域:
- 足部医学是一门专业.
- 糖尿病学 糖尿病学
- 公共卫生 公共卫生
背景情况:
- 糖尿病足部问题给全球经济带来了巨大的负担.
- 在2型糖尿病中常见的神经性足在很大程度上是可以预防的.
- 发展中国家面临着2型糖尿病和相关脚部并发症的患病率上升.
研究的目的:
- 为了突出糖尿病足病对经济的影响.
- 为了强调糖尿病足的可预防性.
- 倡导综合护理策略.
主要方法:
- 通过临床脚部检查来识别高风险个体.
- 对高危患者进行教育和定期随访.
- 在经济评估中考虑复发率和长期成本.
主要成果:
- 脚通常是神经病的,可以预防.
- 脚的复发率在3年内超过50%.
- 经济评估必须包括持续的护理和生活质量.
结论:
- 综合护理,包括查和患者教育,具有成本效益.
- 积极主动管理可以减少糖尿病足病的整体医疗保健支出.
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