糖尿病足溃疡治疗的国际经验与启示——以澳大利亚为例

doi:10.3969/j.issn.1004-583X.2026.06.013

摘要/Abstract

摘要：

糖尿病足是糖尿病严重的并发症之一,给患者及全球医疗系统带来了沉重负担。本文详细阐述了糖尿病足的现状、挑战,并从治疗核心策略、质量控制与标准认证、指南教育与研究、区域协作与未来展望等多个方面进行了探讨,旨在为糖尿病足的有效防治提供全面的参考。

关键词: 糖尿病足, 足溃疡, 多学科团队, 截肢预防

中图分类号:

R587.29

邢玉微, 张莉莉, 许樟荣. 糖尿病足溃疡治疗的国际经验与启示——以澳大利亚为例[J]. 临床荟萃, 2026, 41(6): 556-561.

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链接本文: https://www.lchc.cn/CN/10.3969/j.issn.1004-583X.2026.06.013

https://www.lchc.cn/CN/Y2026/V41/I6/556

图/表 1

参考文献 37

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核心举措	具体内容与实施细节
国家糖尿病中心协会(NADC)认证标准	涵盖人员配备、设备配置、服务流程、患者结局等8项核心标准;采用分级认证体系,分为“核心标准认证”与“卓越中心认证”两级,形成递进式质量要求;截至2024年,已有19家中心获核心认证,17家被评为卓越中心
多学科团队(MDT)制度化配置	团队成员法定包括足病医生、糖尿病医生、骨科医生、血管外科医生、微生物学家、放射科医生、矫形器专家、理疗师;明确要求各专业紧密协作而非单一科室独立运作;在缺乏足病医生时可由其他经培训的团队成员替代
澳大利亚糖尿病足登记处(ADFR)	借助REDCap工具实现全国标准化数据收集与多中心基准对比;审计数据显示数据完整性高达99%;审计结果用于识别临床实践中的薄弱环节,如周围动脉疾病(PAD)评估率不足和溃疡复发预防待加强
2021年循证指南及2023年IWGDF更新	2021年发布《糖尿病相关足病循证指南》,系统性涵盖预防策略、风险分层、溃疡分类、感染管理、血运重建等多模块;2023年国际糖尿病足工作组(IWGDF)更新全球指南,进一步强化多学科协作和个性化治疗推荐
FootForward教育与工具包	为医护人员提供包含临床路径、实用技巧、海报和视频在内的教育资源包;培训重点覆盖SINBAD伤口分类系统、标准化减压技术、感染识别与管理等关键技能
量化健康目标与预后研究	《2030糖尿病足健康策略》设定清晰目标,即5年内将全国截肢率降低50%;研究发现大多数溃疡可通过保守治疗实现愈合,早期转诊至MDT可显著改善预后
D-Foot西太平洋地区合作网络	推动区域内各国在足病诊疗标准、数据共享、指南适配方面的协同;中国学者参与其中,致力于国际指南的本土化应用和多中心研究合作

核心举措	具体内容与实施细节
国家糖尿病中心协会(NADC)认证标准	涵盖人员配备、设备配置、服务流程、患者结局等8项核心标准;采用分级认证体系,分为“核心标准认证”与“卓越中心认证”两级,形成递进式质量要求;截至2024年,已有19家中心获核心认证,17家被评为卓越中心
多学科团队(MDT)制度化配置	团队成员法定包括足病医生、糖尿病医生、骨科医生、血管外科医生、微生物学家、放射科医生、矫形器专家、理疗师;明确要求各专业紧密协作而非单一科室独立运作;在缺乏足病医生时可由其他经培训的团队成员替代
澳大利亚糖尿病足登记处(ADFR)	借助REDCap工具实现全国标准化数据收集与多中心基准对比;审计数据显示数据完整性高达99%;审计结果用于识别临床实践中的薄弱环节,如周围动脉疾病(PAD)评估率不足和溃疡复发预防待加强
2021年循证指南及2023年IWGDF更新	2021年发布《糖尿病相关足病循证指南》,系统性涵盖预防策略、风险分层、溃疡分类、感染管理、血运重建等多模块;2023年国际糖尿病足工作组(IWGDF)更新全球指南,进一步强化多学科协作和个性化治疗推荐
FootForward教育与工具包	为医护人员提供包含临床路径、实用技巧、海报和视频在内的教育资源包;培训重点覆盖SINBAD伤口分类系统、标准化减压技术、感染识别与管理等关键技能
量化健康目标与预后研究	《2030糖尿病足健康策略》设定清晰目标,即5年内将全国截肢率降低50%;研究发现大多数溃疡可通过保守治疗实现愈合,早期转诊至MDT可显著改善预后
D-Foot西太平洋地区合作网络	推动区域内各国在足病诊疗标准、数据共享、指南适配方面的协同;中国学者参与其中,致力于国际指南的本土化应用和多中心研究合作

糖尿病足溃疡治疗的国际经验与启示——以澳大利亚为例

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