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| 1 | 国际糖尿病足工作组:糖尿病足溃疡分类指南——《国际糖尿病足工作组:糖尿病足防治国际指南(2019)》的一部分显示文摘国际糖尿病足工作组(IWGDF)自1999年以来一直以循证为基础发布糖尿病足病的预防和管理指南。本文中针对日常临床工作中糖尿病足溃疡的分类提出了新指南,并对既有的分类进行了综述。新指南只对现患糖尿病足溃疡进行分类,不包括用于定义未来溃疡风险的分类系统。本指南的制定是基于对现有文献的综述以及专家对最大程度影响临床结局的8个关键因素的鉴定。分类级别是根据关键因素的数量、内部和外部有效性验证以及使用意向而制定的。判定分类评分的关键因素有3种:患者相关的因素(终末期肾衰竭)、肢体相关的因素(周围动脉病变和保护性感觉丧失)和溃疡相关的因素(面积、深度、部位、单发或多发以及感染)。特殊分类系统要考虑以下5种临床情况:①卫生专业人员之间交流;②预测单个溃疡预后;③对个案临床决策的辅助;④伤口评估,有感染或无感染及周围动脉病变(评估灌注及血管重建的潜在益处);⑤用于地方、区域或国家人群结局的稽查。指南推荐:①医务人员之间交流使用SINBAD系统。②无适用于预测个体溃疡预后的分类。③感染的评估采用美国传染病学会/国际糖尿病足工作组(IDSA/IWGDF)分类系统。④评估灌注及血管重建的潜在获益使用创面、缺血、足感染(WIfI)系统。⑤人群结局的稽查使用SINBAD系统。 | Matilde Monteiro-Soares David Russell Edward J Boyko William Jeffcoate Joseph L Mills Stephan Morbach Fran Game 无 王爱红(译) 冉兴无(审校) | 2019 | 感染.炎症.修复2019,20,4: | 10 |
| 2 | 国际糖尿病足工作组:促进糖尿病足溃疡创面愈合干预指南——《国际糖尿病足工作组:糖尿病足防治国际指南(2019)》的一部分显示文摘推荐1.考虑到疼痛或严重缺血等相对禁忌证,采用锐性清创术去除糖尿病足溃疡的腐肉、坏死组织和周围的胼胝优于其他方法。(GRADE推荐强度:强;证据质量:低)2.选择敷料主要是考虑渗出物控制、舒适性和成本。(强;低)3.不要使用含表面抗菌药物的敷料以加速溃疡的愈合。(强;低)4.针对曾用最佳标准治疗难以愈合的未感染的神经性缺血性糖尿病足溃疡,可以考虑使用蔗糖八硫酸盐敷料(脂质水胶寡糖敷料—校者注)。 | Gerry Rayman Prashant Vas Ketan Dhatariya Vicki Driver Agnes Hartemann Magnus Londahl Alberto Piaggesi Jan Apelqvist Chris Attinger Fran Game 无 杨彩哲(译) 许樟荣(审校) | 2019 | 感染.炎症.修复2019,20,4: | 8 |
| 3 | Outcomes of Roux-en-Y gastric bypass and laparoscopic adjustable gastric banding显示文摘AIM:To evaluate weight loss and surgical outcomes of Roux-en-Y gastric bypass(RYGB)and laparoscopic adjustable gastric band(LAGB).METHODS:Data relating to changes in body mass index(BMI)and procedural complications after RYGB(1995-2009;n=609;116M:493F;42.4±0.4 years)or LAGB(2004-2009;n=686;131M:555F;37.2±0.4years)were extracted from prospective databases.RESULTS:Pre-operative BMI was higher in RYGB than LAGB patients(46.8±7.1 kg/m2vs 40.4±4.2 kg/m2,P<001);more patients with BMI<35 kg/m2underwent LAGB than RYGB(17.1%vs 4.1%,P<0.0001).BMI decrease was greater after RYGB.There were direct relationships between weight loss and pre-operative BMI(P<0.001).Although there was no difference in weight loss between genders during the first 3-year post-surgery,male LAGB patients had greater BMI reduction than females(-8.2±4.3 kg/m2vs-3.9±1.9kg/m2,P=0.02).Peri-operative complications occurred more frequently following RYGB than LAGB(8.0%vs0.5%,P<0.001);majority related to wound infection.LAGB had more long-term complications requiring corrective procedures than RYGB(8.9%vs 2.1%,P<0.001).Conversion to RYGB resulted in greater BMI reduction(-9.5±3.8 kg/m2)compared to removal and replacement of the band(-6.0±3.0 kg/m2).Twelve months post-surgery,fasting glucose,total cholesterol and low density lipoprotein levels were significantly lower with the magnitude of reduction greater in RYGB patients.CONCLUSION:RYGB produces substantially greater weight loss than LAGB.Whilst peri-operative complications are greater after RYGB,long-term complication rate is higher following LAGB. | Nam Q Nguyen Philip Game Justin Bessell Tamara L Debreceni Melissa Neo Carly M Burgstad Pennie Taylor Gary A Wittert | 2013 | World Journal of Gastroenterology2013,19,36: | 3 |
| 4 | A Generalized recursive construction for de Bruijn sequences显示文摘 | GAMES R A | 1983 | IEEE Transactions on Information Theory1983,29,6: | 1 |
| 5 | Endocrine disruption in male mosquitofish (Gambusia holbrooki) inhabiting wetlands in Western Australia显示文摘 | Clare Game M. Monique Gagnon Diane Webb Richard Lim | 2006 | Ecotoxicology2006,,8: | 1 |
| 6 | 查看详情显示文摘 | Hunter A P Games D E | | 0,,07: | 1 |
| 7 | Alzheimer-type neuropathology in transgenic mice overexpressing V717F be-ta- amyloid precursor protein显示文摘 | Adams D Alessandrini R | 1995 | Nature1995,373,: | 1 |
| 8 | Norovirus gastroenteritis 显示文摘 | Good game R | 2006 | Curr Gastroenterol Rap2006,8,5: | 1 |
| 9 | Mice as models: transgenic approaches and Alzheimer's disease显示文摘 | Games D Buttini M Kobayashi D | 2006 | J Alzheimers Dis2006,9,: | 1 |
| 10 | Supercritical fluid chromatographic and supercritical fluid-mass spectrometric studies of some polar compounds显示文摘 | Berry A J Games DE Perkins JR | 1986 | Journal of Chromatography1986,363,: | 1 |
| 11 | Alzheimer-type neuropathology in transgenic mice overexpressing V717F beta-amyloid precursor protein 显示文摘 | Games D Adams D Alessandrini R | 1995 | Nature1995,373,6514: | 1 |
| 12 | A Fast Algorithm for Determining the Linear Complexity of a Pseudorandom Sequence with Period 2n 显示文摘 | GAMES R A CHAN A H | 1983 | IEEE Trans Inf Theory1983,29,1: | 1 |
| 13 | Clinical and magnetic resonance imaging findings of HIV- negative patients with neurosyphilis 显示文摘 | Games C Bilgiq B Topqular B | 2007 | J Neurol2007,254,3: | 1 |
| 14 | Treatment of neuro-genic male urinary incontinence related to intrinsic sphincter insuffi- ciency with an artificial urinary sphincter: a French retrospective multicentre study显示文摘 | Chartier Kastler E Genevois S Game X | 2011 | BJU Int2011,107,: | 1 |
| 15 | Congenital heart defects in Europe prevalence and perinatal mortality, 2000 to 2005 显示文摘 | Dolk H Loane M Game E | 2011 | Circulation2011,123,8: | 1 |
| 16 | Novel hypoglycaemic agents: considerations in patients with chronic kidney disease 显示文摘 | Game F | 2014 | Nephron Clin Pract2014,126,1: | 1 |
| 17 | Atlantic History: Definitions, Challenges, and Opportunities显示文摘 | Alison Games | 2006 | The American Historical Review2006,,: | 1 |
| 18 | Total and free serum prostate-specific antigen levels during the first month of acute prostatitis显示文摘 | Game X Vincendeau S Palascak R | 2003 | Eur Urol2003,43,: | 1 |
| 19 | Differentiation of malig- nant oral rat keratinocytes reflects changes in EGF and TGF-β receptor expression but not growth factor dependence显示文摘 | Game SM Stone A Matthews JB | 1991 | Carcino- genesis1991,12,3: | 1 |
| 20 | Congenital hydronephrosis: prenatal diagnosis and epidemiology in Europe 显示文摘 | Game E Loane M Wellesley D | 2009 | J Pediatr Urol2009,5,1: | 1 |