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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
原创： 胡海涛 负压引流与创面修复
从医多年，很多时间在诊治‘腹痛’患者，有一部分患者因为诊治不及时，导致严重并发症，影响一辈子，甚至死亡。我们医生花费了大量的精力和时间，患者花费了大量的费用和承受了巨大的痛苦，结果是医患双方都痛苦，医生和家属的努力都没换到理想的结果！如果早给我们机会，结果可能就不一样了，这是我们医生经常惋惜的感叹。急腹症的处理，时间就是生命！一台手术，一次在有限范围内救治一个患者，一篇科普文章，希望可以帮助更多的朋友！
胡海涛 负压引流与创面修复
母，54岁，反复右上腹疼痛10年，再发2周，当地医院诊断1.胆囊结石慢性胆囊炎 2.胆总管结石 3.急性胰腺炎，建议开刀手术：胆囊切除+胆总管切开取石，为微创手术就诊我院，先ERCP取胆总管结石时发现胃潴留、十二指肠狭窄，于2016年6月24日行腹腔镜下胆囊切除+胆总管切开取石+一期胆总管缝合+胃大部切除+毕二胃空肠吻合术，术后第9天痊愈出院。
简介：霍婆婆，94岁，右足背溃烂2年，曾在多家医院诊治，未愈，2018-3-9就诊我院：
几年前，急诊科值夜班，17：00接班，刚坐下不久，小儿外伤接踵而至，一直忙到23：00，用完所有小手术包后，才吃晚饭！
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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