基本的低成本可拆卸鞋类用于糖尿病患者的足部卸载:系统性审查
Siddhartha Sood1, Ryan Geng1, Asfandyar Mufti2,3
1Medical student, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Advances in skin & wound care
|January 15, 2026
概括
可拆卸卸载鞋为糖尿病足 (DFU) 的预防和治愈提供了一种实用,低成本的选择. 虽然这些设备并不优于总接触件,但对于无法容忍TCC或在资源有限的环境中患者来说,这些设备提供了适度的实用性.
科学领域:
- 足部医学是一门专业.
- 糖尿病学 糖尿病学
- 伤口护理 伤口护理
背景情况:
- 糖尿病足 (DFU) 需要卸载,以减少脚下压力,促进愈合,并防止复发.
- 不可拆卸的全接触造 (TCC) 是黄金标准,但在应用和患者坚持方面存在挑战.
- 可访问和可拆卸的卸载鞋为DFU管理提供了替代方案.
研究的目的:
- 系统地审查可拆卸卸鞋在DFU治愈,预防和复发方面的有效性.
- 在各种临床场景中评估可访问和可拆卸卸载装置的实用性.
主要方法:
- 在2023年7月25日,对MEDLINE和Embase进行了系统的文献搜索.
- 在标题,摘要和全文选后,报告了使用可拆卸卸载设备治疗的DFU患者的研究.
- 患者人口统计数据,愈合时间,截肢率和复发率的数据被提取和汇总.
主要成果:
- 在618例活病例中,平均治愈率为71%,平均治愈时间为68.4天.
- 在760个病例中,平均截肢率为15.4%,平均复发率在39.7个月的随访期间为22.5%.
- 在316个被评估为预防的病例中,新的DFU的发病率为2%.
结论:
- 简单的,可拆卸的卸载装置是预防DFU和复发管理的潜在可访问和具有成本效益的选择.
- 治愈和截肢的结果与TCCs的现有文献相似,表明适度的效用.
- 可拆卸鞋子对于不能容忍TCC的患者或在缺乏资源的医疗保健机构中尤其有益.
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