[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fdadUb6MFwHpcvVanz56XiBa5AL--nfMbSc3KG8eceyY":8,"$f8HKHwgZsKXbUrxjcf5z3Dcvh--_1hHucIUqY0mdfdMM":57,"$f8uJ2WXc24UImWM9UvSQr7Jq9DoBa7v4bUuiMe3Ym-p0":61},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":56},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":18,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"content":25,"description":26,"views":27,"likes":28,"isThumbsUp":7,"isCollection":7,"collections":28,"createTime":29,"seoTitle":30,"seoKeywords":31,"seoDescription":32,"shelvesTime":33,"version":34,"menus":35,"menuId":37,"type":44,"quality":55,"commentCount":28,"isComment":44},10019,862875,[],"https://ystcdn.venuertc.com/medical/ystApp/n1B92034lv325KAgGCY1vdgAVBnOsbNr.png","李杰胜","上海市杨浦区中心医院","麻醉科","副主任医师",22,8,"糖尿病足警示：认识信号与应对措施","","https://ystcdn.venuertc.com/venue/AI/965bebe4-aa3f-4a77-8e41-606b1088ca80.jpg","\u003Cdiv class=\"material-container\">   \u003Ch1 id=\"material_title\" class=\"material-title\">糖尿病足：别等溃烂才重视！3个信号、5步治疗现在知道还不晚\u003C/h1>      \u003C!-- 开篇引入 -->   \u003Cdiv class=\"material-section material-intro\">     有些健康隐患，刚开始总觉得离自己很远。比如脚上偶尔的小伤口，许多人只是随手消毒、贴个创可贴。但如果你是糖尿病患者，这些不起眼的小变化却有可能悄悄演变成大问题。糖尿病足就是这样的“隐形杀手”，有时并不是剧痛来袭，而是默默无声地给身体制造难题。   \u003C/div>      \u003C!-- 01 脚上小伤口总不愈合？可能是糖尿病足在作祟 -->   \u003Cdiv class=\"material-section material-bg-light\">     \u003Ch2 class=\"material-subtitle\">01 脚上小伤口总不愈合？可能是糖尿病足在作祟\u003C/h2>     \u003Cdiv>       很多糖友会发现，脚上一点点小伤总是比别人好得慢。曾有一位62岁的阿姨，脚后跟被鞋磨破，三周以后不仅没长好，反倒有些发黑，这才引起了家人的重视。其实，这类伤口如果一直反复发炎或愈合缓慢，可能与糖尿病相关的神经和血管损伤有关。     \u003C/div>     \u003Cdiv style=\"margin-top:0.8em;\">       长期高血糖容易损害足部神经，使脚对疼痛和冷热的感觉变弱，小伤不易察觉。同时，血管变窄、供血减少，使得脚部的康复能力大大下降。如果感染反复，甚至可能引发更复杂的溃疡、坏死。     \u003C/div>     \u003Cdiv class=\"material-tips material-bg-panel\">       \u003Cspan>💡 \u003Cstrong>提醒：\u003C/strong>轻微的足部伤口长时间不见好转，特别是糖友，一定要早点请医生看看。\u003C/span>     \u003C/div>   \u003C/div>      \u003C!-- 02 注意这3种异常：你的脚正在发出求救信号 -->   \u003Cdiv class=\"material-section material-bg-info\">     \u003Ch2 class=\"material-subtitle\">02 注意这3种异常：你的脚正在发出求救信号\u003C/h2>     \u003Cdiv>       有哪些信号，是糖尿病足早期警告？下面这三个表现，建议糖友别忽视：       \u003Cul class=\"material-list\">         \u003Cli>\u003Cb>1. 脚部麻木或刺痛\u003C/b>：如果你发现行走时脚心总感觉像踩在棉花上，偶尔有点轻微的麻麻感，这可能是神经受损在作怪。身边一位55岁男性糖友曾说，热水泡脚时经常不知不觉烫伤，就是因为神经反应变慢。\u003C/li>         \u003Cli>\u003Cb>2. 皮肤颜色变深或变硬\u003C/b>：本来皮肤颜色正常，近期突然出现脚趾、脚背发暗，或局部发硬发厚（比如长胼胝、茧），这其实是血液循环出现了问题。新出的溃疡往往正是从这些不正常的地方开始。\u003C/li>         \u003Cli>\u003Cb>3. 小伤口两周以上不愈合\u003C/b>：正常的擦伤五到七天一般能痊愈。糖友脚部出现小破溃，超两周还未好，或者反复感染渗液，这就很值得警觉。\u003C/li>       \u003C/ul>     \u003C/div>     \u003Cdiv class=\"material-tips material-bg-panel\">       \u003Cspan>👀 \u003Cstrong>日常小建议：\u003C/strong>每天抽出1分钟检查双脚——尤其是脚底和趾缝，有异常及时就医。\u003C/span>     \u003C/div>   \u003C/div>      \u003C!-- 03 血糖高为何会伤脚？三大致病机制要了解 -->   \u003Cdiv class=\"material-section material-bg-warm\">     \u003Ch2 class=\"material-subtitle\">03 血糖高为何会伤脚？三大致病机制要了解\u003C/h2>     \u003Cdiv>       有的人会疑惑，血糖高怎么会专门找上脚？其实这里面有三道“连环锁”在起作用：       \u003Cul class=\"material-list\">         \u003Cli>\u003Cb>神经损伤\u003C/b>：长期高血糖损害感知神经，脚对疼痛、温度的感应变慢。小伤、烫伤自己很难觉察。\u003C/li>         \u003Cli>\u003Cb>血管病变\u003C/b>：血糖高时，脚部动脉容易变窄、变硬，供血能力大大下降。好的供血有点像公路运货，路越堵，物资越难送达，创口自然难愈合。\u003C/li>         \u003Cli>\u003Cb>免疫力降低\u003C/b>：高血糖还会影响白细胞功能，致使细菌感染变易反复。“修补小队”迟迟到不了现场，感染就更容易失控。\u003C/li>       \u003C/ul>     \u003C/div>     \u003Cdiv style=\"margin-top:0.8em;\">       数据显示，糖尿病患者平均发生足部并发症的风险，是普通人的15倍。\u003Cspan class=\"material-ref\">（Armstrong, D.G. et al., 2017. \"Diabetic Foot Ulcers and Their Recurrence,\" New England Journal of Medicine）\u003C/span>     \u003C/div>   \u003C/div>      \u003C!-- 04 确诊糖尿病足要做哪些检查？5步诊断流程详解 -->   \u003Cdiv class=\"material-section material-bg-purple\">     \u003Ch2 class=\"material-subtitle\">04 确诊糖尿病足要做哪些检查？5步诊断流程详解\u003C/h2>     \u003Cdiv>       确认糖尿病足，医生一般按下列流程操作：       \u003Col class=\"material-list\">         \u003Cli>\u003Cb>病史采集\u003C/b>：问清糖尿病时间、有无以往足部病变。\u003C/li>         \u003Cli>\u003Cb>体格检查\u003C/b>：观察皮肤状态、溃疡、局部温度变化。\u003C/li>         \u003Cli>\u003Cb>神经功能测试\u003C/b>：包括趾间棉球感觉、踝反射，判断是否有神经损伤。\u003C/li>         \u003Cli>\u003Cb>血管评估\u003C/b>：例如踝肱指数（ABI）、足脉搏触诊、彩超或CTA排查血管堵塞。\u003C/li>         \u003Cli>\u003Cb>分级判断\u003C/b>：医疗上常用Wagner分级，0级基本无症状，5级则为坏疽阶段。参下表。\u003C/li>       \u003C/ol>       \u003Ctable class=\"material-table\" cellspacing=\"0\" cellpadding=\"5\">         \u003Cthead>           \u003Ctr>             \u003Cth>分级\u003C/th>             \u003Cth>主要表现\u003C/th>             \u003Cth>严重度\u003C/th>           \u003C/tr>         \u003C/thead>         \u003Ctbody>           \u003Ctr>             \u003Ctd>Wagner 0级\u003C/td>             \u003Ctd>皮肤完整，表面出现风险迹象\u003C/td>             \u003Ctd>低\u003C/td>           \u003C/tr>           \u003Ctr>             \u003Ctd>Wagner 1级\u003C/td>             \u003Ctd>表浅溃疡，无感染/缺血\u003C/td>             \u003Ctd>较低\u003C/td>           \u003C/tr>           \u003Ctr>             \u003Ctd>Wagner 2级\u003C/td>             \u003Ctd>深溃疡，涉及肌腱/关节\u003C/td>             \u003Ctd>中等\u003C/td>           \u003C/tr>           \u003Ctr>             \u003Ctd>Wagner 3级\u003C/td>             \u003Ctd>溃疡合并脓肿/骨髓炎\u003C/td>             \u003Ctd>较高\u003C/td>           \u003C/tr>           \u003Ctr>             \u003Ctd>Wagner 4级\u003C/td>             \u003Ctd>部分坏疽\u003C/td>             \u003Ctd>高\u003C/td>           \u003C/tr>           \u003Ctr>             \u003Ctd>Wagner 5级\u003C/td>             \u003Ctd>足完全坏疽\u003C/td>             \u003Ctd>极高\u003C/td>           \u003C/tr>         \u003C/tbody>       \u003C/table>     \u003C/div>     \u003Cdiv class=\"material-tips material-bg-panel\">       ✍️ \u003Cstrong>Tips：\u003C/strong>如果脚部伤口有恶臭、渗脓，或皮下有气泡，属于高危，及时到大医院就诊。     \u003C/div>   \u003C/div>      \u003C!-- 05 从清创到截肢：治疗方式如何选择？ -->   \u003Cdiv class=\"material-section material-bg-yellow\">     \u003Ch2 class=\"material-subtitle\">05 从清创到截肢：治疗方式如何选择？\u003C/h2>     \u003Cdiv>       治疗糖尿病足的方法主要看溃疡分期与严重程度。以实际情况为导向，治疗方式大致有以下几类：       \u003Cul class=\"material-list\">         \u003Cli>\u003Cb>1. 创面处理\u003C/b>：包括局部清创、按医生建议换药，伤口保持干净，可用特殊敷料帮助愈合。\u003C/li>         \u003Cli>\u003Cb>2. 控制感染\u003C/b>：如果感染严重，需使用抗生素。偶尔需要静脉输液。\u003C/li>         \u003Cli>\u003Cb>3. 血管重建\u003C/b>：适合下肢大血管堵塞者，通过介入或手术恢复血流。\u003C/li>         \u003Cli>\u003Cb>4. 高压氧/辅助理疗\u003C/b>：某些慢性难愈型，可以配合高压氧和负压引流帮助康复。\u003C/li>         \u003Cli>\u003Cb>5. 截肢\u003C/b>：不到万不得已不会采取，多为局部大面积坏死、严重感染蔓延时考虑。规范早期干预，80%的病例能避免到这一步。\u003C/li>       \u003C/ul>     \u003C/div>     \u003Cdiv class=\"material-tips material-bg-panel\">       \u003Cspan>医学研究显示，糖尿病足早期接受清创、血糖管理，绝大部分可以避免严重截肢结局。\u003Cspan class=\"material-ref\">（Lazzarini, P. A. et al., 2020, Diabetes Care）\u003C/span>\u003C/span>     \u003C/div>   \u003C/div>      \u003C!-- 06 糖友护足必做5件事：现在开始还不晚 -->   \u003Cdiv class=\"material-section material-bg-green\">     \u003Ch2 class=\"material-subtitle\">06 糖友护足必做5件事：现在开始还不晚\u003C/h2>     \u003Cdiv>       \u003Cdiv class=\"material-quicklist\">         \u003Cdiv class=\"material-quickitem\">           \u003Cb>① 控好血糖\u003C/b>\u003Cbr>           \u003Cspan>目标一般建议空腹血糖在7mmol/L以内，具体请听医生意见。\u003C/span>         \u003C/div>         \u003Cdiv class=\"material-quickitem\">           \u003Cb>② 选舒适鞋袜\u003C/b>\u003Cbr>           \u003Cspan>选择柔软、合脚的平底鞋，避免高跟、夹脚、硬底鞋。\u003C/span>         \u003C/div>         \u003Cdiv class=\"material-quickitem\">           \u003Cb>③ 坚持足部清洁\u003C/b>\u003Cbr>           \u003Cspan>每天洗脚，轻柔擦干，尤其是趾缝，用温水温和洗剂，无需反复搓洗。\u003C/span>         \u003C/div>         \u003Cdiv class=\"material-quickitem\">           \u003Cb>④ 规律运动\u003C/b>\u003Cbr>           \u003Cspan>推荐步行、游泳等低冲击运动，有助于改善末梢循环。\u003C/span>         \u003C/div>         \u003Cdiv class=\"material-quickitem\">           \u003Cb>⑤ 定期足部检查\u003C/b>\u003Cbr>           \u003Cspan>建议每月至少到医院足部专科一次，哪怕没有不适也要主动检查。\u003C/span>         \u003C/div>       \u003C/div>       \u003Cdiv style=\"margin-top:1em;\">         国际研究发现，规范的足部护理能让糖尿病足发生率降低一半，截肢率下降\u003Cspan style=\"color:#22a815;font-weight:600;\">75%\u003C/span>以上\u003Cspan class=\"material-ref\">(Zhang, P. et al., 2017, Diabetes Research and Clinical Practice)\u003C/span>。最好的办法，就是把足部检查当作跟刷牙、洗脸一样的日常习惯。       \u003C/div>     \u003C/div>   \u003C/div>      \u003C!-- 参考文献 -->   \u003Cdiv class=\"material-section material-bg-panel\">     \u003Ch3 class=\"material-referencetitle\">参考文献\u003C/h3>     \u003Col class=\"material-ref-list\">       \u003Cli>Armstrong, D.G., Boulton, A.J.M., & Bus, S.A. (2017). Diabetic Foot Ulcers and Their Recurrence. \u003Ci>New England Journal of Medicine, 376\u003C/i>(24), 2367–2375.\u003C/li>       \u003Cli>Lazzarini, P. A., Pacella, R. E., Armstrong, D. G., & van Netten, J. J. (2020). Diabetes-related lower-extremity complications are a leading cause of the global burden of disability. \u003Ci>Diabetes Care, 43\u003C/i>(5), 964–974.\u003C/li>       \u003Cli>Zhang, P., Lu, J., Jing, Y., Tang, S., Zhu, D., & Bi, Y. (2017). Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. \u003Ci>Diabetes Research and Clinical Practice, 126\u003C/i>, 98–110.\u003C/li>     \u003C/ol>   \u003C/div> \u003C/div>  \u003C!-- 独立样式，避免全局影响 --> \u003Cstyle> .material-container {   font-family: 'Microsoft YaHei', Arial, sans-serif;   color: #333;   background: #fcfcfc;   padding: 32px 20px 24px 20px;   border-radius: 16px;   max-width: 840px;   margin: 0 auto;   box-shadow: 0 2px 18px 4px #f0f3fa;   font-size: 1.1em; }  .material-title {   color: #2C518A;   font-weight: bold;   font-size: 2.2em;   margin-bottom: 30px;   letter-spacing: 0.03em;   text-align: left; }  .material-section {   margin-bottom: 36px;   line-height: 1.85;   border-radius: 8px;   padding: 22px 20px 14px 20px; }  .material-intro {   background: #f9faff; }  .material-bg-light {   background: #f6f7fd; }  .material-bg-info {   background: #f2fdff; }  .material-bg-warm {   background: #fff7ef; }  .material-bg-purple {   background: #f6f1fa; }  .material-bg-yellow {   background: #fffcf1; }  .material-bg-green {   background: #f3fefa; }  .material-bg-panel {   background: #f7f9fa;   padding: 14px 16px 14px 16px;   border-radius: 6px;   margin-top: 12px;   font-size: 1.03em;   color: #16675a;   border-left: 6px solid #3eaf7c;   box-sizing: border-box; }  .material-subtitle {   color: #204987;   font-weight: 600;   font-size: 1.35em;   margin-bottom: 18px;   letter-spacing: 0.01em; }  .material-list {   margin: 0 0 0 1.2em;   padding: 0; } .material-list li {   margin-bottom: 10px;   padding-left: 2px; }  .material-tips {   color: #18664b;   font-weight: 500;   font-size: 1.08em; }  .material-table {   width: 98%;   border-collapse: collapse;   margin: 18px 0 0 0;   font-size: 1em;   background: #fff;   border-radius: 6px;   overflow: hidden;   box-shadow: 0px 1px 8px #ededed; }  .material-table th, .material-table td {   border: 1px solid #e8eaf1;   padding: 7px 10px 7px 10px;   text-align: left; }  .material-table th {   background: #edf2fa;   font-weight: 600;   color: #244689; }  .material-quicklist {   display: flex;   flex-wrap: wrap;   gap: 16px;   margin: 0 -6px 0 -4px; } .material-quickitem {   background: #e5fbee;   border-left: 4px solid #26b487;   border-radius: 6px;   width: 256px;   min-width: 204px;   max-width: 310px;   padding: 14px 12px 9px 14px;   margin-bottom: 12px;   box-sizing: border-box;   font-size: 1em; }  .material-ref {   color: #648ffe !important;   font-size: .98em !important; }  .material-referencetitle {   font-size: 1em;   color: #34416b;   font-weight: bold;   margin-bottom: 10px;   margin-top: 0; }  .material-ref-list {   padding-left: 20px;   font-size: 0.97em; } .material-ref-list li {   margin-bottom: 6px;   line-height: 1.65; }  @media (max-width: 650px) {   .material-container {     padding: 10px 4px;     font-size: 0.98em;   }   .material-title {     font-size: 1.3em;     margin-bottom: 16px;   }   .material-section {     padding: 10px 6px 8px 10px;   }   .material-quickitem {     width: 96vw;     max-width: unset;     min-width: unset;     margin-right: 0;     margin-bottom: 10px;   }   .material-table th,   .material-table td {     font-size: 0.93em;     padding: 5px 4px;   } }  \u003C/style>","了解糖尿病足的三大信号与五步治疗办法，及时检查与干预能有效降低风险，让糖友们更健康。",552,0,"2025-03-12 14:31:15","糖尿病足警示：认识早期信号与科学应对措施  ","糖尿病足症状,糖尿病足预防,糖尿病足护理,糖尿病并发症,足部溃疡治疗  ","了解糖尿病足的早期警示信号，掌握科学预防与护理方法。本文详细介绍糖尿病足的症状识别、日常护理要点及专业治疗建议，帮助糖尿病患者降低足部并发症风险。","2025-08-15 18:00:59",2,[36],{"menuId":37,"menuName":38,"parentId":28,"orderNum":34,"path":39,"component":40,"isFrame":41,"isCache":42,"menuType":43,"visible":44,"status":28,"createDept":6,"remark":23,"createTime":45,"children":46,"columnImage":47,"columnLogo":48,"uncheckedLogo":6,"checkedLogo":6,"isHot":44,"isHome":28,"forceLogin":28,"color":49,"seoTitle":50,"seoKeywords":51,"seoDescription":52,"contentNum":6,"promotionalPoster":53,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":54,"routerPath":39,"componentInfo":40},"1986713082609147906","健康科普","article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","慢性病",true,{"code":9,"msg":10,"message":6,"data":58,"success":56},{"pageNo":44,"pageSize":59,"result":60,"totalSize":28},10,[],{"code":9,"msg":10,"message":6,"data":62,"success":56},{"authors":63,"appraiseDimensionScoresVos":64},[],[]]