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投稿时间:2024-06-25 网络发布日期:2025-04-20
投稿时间:2024-06-25 网络发布日期:2025-04-20
中文摘要: 糖尿病足常伴有血管和神经损伤、感染以及炎症,这些因素相互作用,导致伤口难以愈合。目前的治疗方法包括清创、控制感染、修复血管、减压和使用湿润敷料,以及控制血糖。然而,由于缺血、感染、神经病变和代谢紊乱,伤口愈合缓慢,有时甚至导致组织坏死和严重感染,最终需要截肢。因此,探索糖尿病足的新型诊疗方法至关重要。近年来,其诊治领域取得了显著进展。首先,新型无创影像诊断技术、分子生物标志物、人工智能和机器学习、新型穿戴设备和远程监测技术、基因研究的应用,有助于糖尿病足的早期发现和精准诊断。其次,生物材料和再生医学、干细胞治疗、高压氧疗法、新型药物和递送系统、光动力疗法、人工智能和数字健康等治疗手段的进展,可提供更全面的治疗方案,使药物能够更精确地作用于感染部位,减少全身性副作用,为糖尿病足溃疡的治疗提供了新选择。未来的研究将继续致力于寻求更有效、个性化的治疗方法。
Abstract:Diabetic foot is often accompanied by vascular and neural damage, infections, and inflammation, which interact to hinder wound healing. The current treatment methods include debridement, infection control, vascular repair, pressure reduction, moist dressings, and blood glucose management. Despite these efforts, challenges such as ischemia, infection, neuropathy, and metabolic issues can lead to slow healing, even tissue necrosis and severe infections, with amputation as a last resort. Theres a clear need for innovative diagnostic and treatment methods of diabetic foot. In recent years, remarkable progress has been made in this field. First, the application of new non invasive imaging, molecular biomarkers, artificial intelligence and machine learning, new wearable devices, remote monitoring and genetic research will contribute to the early detection and accurate diagnosis of diabetic foot. Secondly, the treatment progress of biomaterials and regenerative medicine, stem cell therapy, hyperbaric oxygen therapy, new drugs and delivery systems, photodynamic therapy, artificial intelligence and digital health can provide more comprehensive treatment options, allowing drugs to reach the site of infection more precisely, reducing systemic side effects, and providing new options for the treatment of diabetic foot ulcers. Future research will focus on seeking more effective and personalized treatment strategies.
keywords: Diabetic foot Stem cell Mesenchymal stem cell Wound healing Non invasive imaging Molecular biomarkers Biomaterials and regenerative medicine New drugs and delivery systems Photodynamic therapy
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:
李盖, 王雷, 孙新娟, 项广源, 王天元, 车建芳, 陈金安.糖尿病足诊治的新进展[J].中国临床研究,2025,38(4):507-510.
李盖, 王雷, 孙新娟, 项广源, 王天元, 车建芳, 陈金安.糖尿病足诊治的新进展[J].中国临床研究,2025,38(4):507-510.