在糖尿病中对叠加的外围神经病变进行下肢神经减压:医疗专业人员的认识
Nadine Boers1, Isabelle M L P Kamm1, Manuel Castro Cabezas2,3,4
1Department of Plastic, Reconstructive, and Hand Surgery, Utrecht University Medical Center, Utrecht, the Netherlands.
Plastic and reconstructive surgery
|May 13, 2025
概括
自2009年以来,荷兰医疗专业人员对糖尿病感觉运动多神经病 (DSP) 中叠加的神经压缩的认识有所增加. 现在,越来越多的专业人士认识到它的作用,并将患者转诊为神经减压手术.
科学领域:
- 神经学 神经学
- 内分泌学 在内分泌学.
- 外科手术的专业领域.
背景情况:
- 叠加的神经压缩是糖尿病感觉运动多神经病变 (DSP) 症状的一个因素.
- 2009年荷兰的一项调查显示,医疗专业人员对DSP和神经减压手术的认识很低.
研究的目的:
- 自2009年以来,评估医疗专业人员对DSP中叠加神经压缩意识的变化.
- 进行关于该主题的最新文献综述.
主要方法:
- 在荷兰的各种医疗专家中进行了一项全国性的,多机构的,跨部门的调查.
- 参与糖尿病护理的730名专业人员回应了.
主要成果:
- 在DSP中,对叠加神经压缩的认识增加到57% (2009年为23%).
- 对神经减压手术的推显著增加 (30%与3%相比).
- 文献综述表明,手术对疼痛和患者报告的结果有积极的影响,但有一些变化.
结论:
- 在过去的13年里,对DSP的认识和外科推增加了.
- 需要进一步研究长期结果和对LEND手术患者的选择.
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