Identifying Diabetic Patients at High Risk for Amputation
作者:
LAURIE,
UMEH MARGARET,
WALLHAGEN NATALYA,
期刊:
The Nurse Practitioner
(OVID Available online 1999)
卷期:
Volume 24,
issue 8
页码: 56-72
ISSN:0361-1817
年代: 1999
出版商: OVID
数据来源: OVID
摘要:
Lower-extremity amputation is a much feared complication of diabetes mellitus; however, 40% to 50% of these amputations are preventable. Peripheral neuropathy has been implicated as a cause in some 82% of diabetic amputations. Patient education on foot care is often not enough to prevent foot ulceration and potential amputation. Health care providers can lower the incidence of lower extremity amputation by using a Semmes-Weinstein monofilament to identify protective sensation loss and quickly taking measures to prevent ulceration. Diabetes patients who have a history of foot deformity, ulceration, or amputation of any part of the foot should be referred for special shoes or orthotics. This article reviews the methods for identifying those patients with diabetes that are at high risk for amputation and preventive interventions.
点击下载:
PDF
(1511KB)
返 回