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引用本文:简喜超, 简扬, 邓呈亮. 2025版《中国糖尿病足防治实践指南》解读[J]. 中华医学美学美容杂志, 2026, 32(2): 99-103. DOI: 10.3760/cma.j.cn114657-20251215-00266.
通信作者:邓呈亮,Email:该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。
Athina Stamati1 · Athanasios Christoforidis2
Received: 7 October 2024 / Accepted: 31 December 2024 / Published online: 10 January 2025 © The Author(s) 2025
Abstract
Aims To assess the efficacy and safety of automated insulin delivery (AID) systems compared to standard care in managing glycaemic control during pregnancy in women with Type 1 Diabetes Mellitus (T1DM).
Methods We searched MEDLINE, Cochrane Library, registries and conference abstracts up to June 2024 for randomized controlled trials (RCTs) and observational studies comparing AID to standard care in pregnant women with T1DM. We con-ducted random effects meta-analyses for % of 24-h time in range of 63–140 mg/dL (TIR), time in hyperglycaemia (>140 mg/ dl and>180 mg/dL), hypoglycaemia (<63 mg/dl and<54 mg/dL), total insulin dose (units/kg/day), glycemic variability (%), changes in HbA1c (%), maternal and fetal outcomes.
Results Thirteen studies (450 participants) were included. AID significantly increased TIR (Mean difference, MD 7.01%, 95% CI 3.72–10.30) and reduced time in hyperglycaemia>140 mg/dL and>180 mg/dL (MD – 5.09%, 95% CI – 9.41 to – 0.78 and MD – 2.44%, 95% CI – 4.69 to – 0.20, respectively). Additionally, glycaemic variability was significantly reduced (MD – 1.66%, 95% CI – 2.73 to – 0.58). Other outcomes did not differ significantly.
Conclusion AID systems effectively improve glycaemic control during pregnancy in women with T1DM by increasing TIR and reducing hyperglycaemia without any observed adverse short-term effects on maternal and fetal outcomes.
Keywords Automated insulin delivery · Pregnancy · Type 1 diabetes mellitus · Systematic review · Meta-analysis
Author: Theophila Lan Si’Ai
Theophila Lan Si’Ai is Senior Podiatrist, Singapore General Hospital, Singapore
Complex and complicated wounds (CCWs) tend to exhibit slow wound healing and poor prognoses despite good standards of care. Numerous literature demonstrated the efficacy of TLC-NOSF dressing (UrgoStart®) in healing of both acute and chronic wounds. The author thus hypothesised that inclusion of TLCNOSF dressing in dressing regimes would enhance wound healing and improve outcomes in CCW. This paper successfully verifies the hypothesis on three such wounds, with good wound healing outcomes achieved.
Author:
Corey Heerschap
Corey Heerschap is Wound/ Ostomy Clinical Nurse Specialist at Royal Victoria Regional Health Centre in Barrie, ON, Canada, and a PhD student at Queens University in Kingston, ON, Canada. He is the President-Elect of Nurses Specialized in Wound, Ostomy and Continence Canada, Inaugural Panel Member of the Canadian Pressure Injury Advisory Panel, and Education CoLead for the Commonwealth Wound Care Resource Alliance.
Joyce Black
Joyce Black is Professor, College of Nursing, University of Nebraska Medical Center, Omaha, Nebraska, US
Despite the frequency of pressure ulcers on the heels, little is written about them. While these ten top tips will not fill the literature gap, it may help you with this common problem.
A case series was conducted to demonstrate the safe and effective use of a 14-day Single Use Negative Pressure Wound Therapy System (sNPWT) in the management of static, ‘hard-to-heal’ wounds. When used in conjunction with optimal wound care strategies, including holistic assessment and comprehensive patient empowerment and education, the use of sNPWT resulted in the closure of all chronic wounds in this case series despite complex histories. This case series demonstrates enhanced results when a proactive, holistic and patient-centred approach is adopted in conjunction with sNPWT.
Authors:
Hayley Ryan and Joanne Handsaker
Hayley Ryan is Director of Wounds Rescue/Wounds Australia Board Director & Chair, Wound Clinical Nurse Consultant (WCNC);
Joanne Handsaker is Clinical Strategy –Global Clinical Strategy Specialist, Smith and Nephew
Practitioners have advocated for new ways of working, such as shared wound care, to address the challenges in chronic wound management. Shared wound care practiced alongside the use of long-wear advanced foam dressings has the potential to optimise community wound care*; releasing time for nurses and healthcare systems, and empowering patients. Many practitioners already use elements of shared wound caren with patients but require support to implement the approaches more formally and reduce practice variation. This article will discuss shared wound care from an individual practitioner’s perspective, addressing how shared wound care is beneficial, accessible, clinically effective, scalable, and implementable, and facilitate discussions about standardising implementation within their health system.
*Wear time of up to 5 to 7 days (Simon and Bielby, 2014; Joy et al, 2015; Smith+Nephew, 2016b; 2016a)
Amanda Loney, Certified Nurse Specialised, Wound, Ostomy and Continence (WOCC(C)), Bayshore Home Care Solutions Hamilton, Ontario, Canada;
Catherine Milne, Advanced Practice WOC Nurse in Bristol, Connecticut, Clinical Instructor Yale School of Nursing, Connecticut, United States
Aldo Conti, Massimiliano Brilli, Edgardo Norgini, Stefano Falini, Laura De Fina, Genni Spargi and Stefano Gasperini
Stagnant wounds are wounds that don’t progress in the healing process,despite adequate therapy. Blue light photobiomodulation is a novel therapy that has been demonstrated to positively influence wound healing by stimulating the resolution of the inflammatory response and promoting tissue repair. This case series evaluated the effect of photobiomodulation on five patients with silent wounds of various aetiologies who were treated with blue light for four weeks. At the end of the observation period, five patients had a significant reduction in lesion area, an improvement in wound bed score and a reduction in pain.
Aldo Conti is a Wound Care Nurse Expert, Wound Care Outpatient Clinic, Hyperbaric Medicine Service, UOC Anaesthesia and Reanimation;
Massimiliano Brilli is a Wound Care Nurse Expert, Wound Care Outpatient Clinic, Hyperbaric Medicine Service, UOC Anaesthesia and Reanimation;
Edgardo Norgini is a Wound Care Nurse Expert, Wound Care Outpatient Clinic, Hyperbaric Medicine Service, UOC Anaesthesia and Reanimation;
Stefano Falini is Head of Hyperbaric Medicine Service, UOC Anaesthesia and Reanimation;
Laura De Fina, Hyperbaric Medicine Service, UOC Anaesthesia and Reanimation;
Genni Spargi is Director UOC Anaesthesia and Reanimation; all at Misericordia Hospital, Grosseto, Italy;
Stefano Gasperini is a Medical Advisor, Pisa, Italy
伤口世界平台生态圈,以“关爱人间所有伤口患者”为愿景,连接、整合和拓展线上和线下的管理慢性伤口的资源,倡导远程、就近和居家管理慢性伤口,解决伤口专家的碎片化时间的价值创造、诊疗经验的裂变复制、和患者的就近、居家和低成本管理慢性伤口的问题。
2019广东省医疗行业协会伤口管理分会年会
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