智能策略在糖尿病足溃疡预防与管理中的应用

Research progress on the application of intelligent strategies in the prevention and management of diabetic foot ulcers

  • 摘要: 糖尿病足溃疡(DFU)是糖尿病的严重并发症,具有高发病率、高复发率和高医疗负担的特点,传统诊疗手段在早期识别、精确诊断和个性化治疗方面存在局限。近年来,人工智能(AI)、物联网、先进材料及数字医疗等智能技术的快速发展,为DFU的全程管理提供了新的解决方案。AI驱动的风险预测模型可整合多维临床信息,提高高危人群识别的准确性;智能影像技术实现了对组织结构与功能的无创、多层次评估;可穿戴设备与远程医疗有助于实现连续监测与早期预警;智能敷料及智能卸载设备在精准干预和促进创面愈合方面展现出良好应用前景。然而,这些技术仍存在一定局限,如模型缺乏外部验证支持、临床证据相对匮乏、设备成本较高、长期稳定性和患者适配性有待提升,以及标准化与公平可及性不足等关键问题。文章以DFU疾病演进过程为逻辑主线,系统综述智能技术在不同阶段的应用进展,并从临床转化角度分析其优势与不足。与既往多聚焦单一技术或单一阶段的综述不同,本文强调多技术整合与全流程管理视角,旨在为DFU智能化、精准化管理策略的优化及临床推广提供参考依据。

     

    Abstract: Diabetic foot ulcer (DFU) is a severe complication of diabetes mellitus, characterized by high incidence, high recurrence and a substantial healthcare burden. Conventional diagnostic and therapeutic approaches have limitations in early identification, precise diagnosis and individualized treatment. In recent years, the rapid development of intelligent technologies, including artificial intelligence (AI), internet of things, advanced materials and digital health care, has provided new solutions for the full-course management of DFU. AI-driven risk prediction models can integrate multidimensional clinical information to improve the accuracy of identifying high-risk populations. Intelligent imaging technologies enable noninvasive, multi-level assessments of tissue structure and function. Wearable devices and telemedicine facilitate continuous monitoring and early warning. Smart dressings and intelligent offloading devices show promising prospects for precise intervention and promotion of wound healing. However, these technologies still face several limitations such as insufficient external validation of models, relatively limited clinical evidence, high device costs, a need to improve long-term stability and patient adaptability, as well as inadequate standardization and equitable accessibility. Taking the disease evolution of DFU as the main logical thread, this review systematically summarizes the application progress of intelligent technologies at different stages and analyzes their strengths and limitations from the perspective of clinical translation. Unlike prior reviews that mainly focus on a single technology or a single stage, this review emphasizes multi-technology integration and a full-process management perspective, aiming to provide references for optimizing intelligent and precision management strategies for DFU and promoting their clinical implementation.

     

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