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糖尿病足120例临床分析

             

摘要

Objective To analyze the risk factors of diabetic foot (DF), and to provide guidance for the treat ment of DF. Methods The clinical data of 120 patients with DF was retrospectively analyzed. Results DF mostly occurred in patients over 40 years old (94.0%). The incidence increased as the age increased. Of the 120 patients, 34 were cured (28.3%), 63 were getting better (52.5%), 23 were deteriorated (19.2%), 6 were amputated, 2 were treated with arterialization of the great saphenous vein, and 6 died. Conclusion DF showed significant relationship with the course of diabetes mellitus (DM). Patients with DF need to improve the blood circulation of foot. They should be treat ed with neurotrophic treatment and debridement and dressing if necessary. Early intervention and timely treatment are the key to reduce the morbidity and amputation.%目的 分析糖尿病足(DF)的发病因素,探讨糖尿病足的治疗措施,为糖尿病足的诊治提供理论依据.方法 回顾性分析120例糖尿病足临床资料.结果 DF主要发生在40岁以上的中年人(占94.0%),其发病率随年龄的增加而升高.经治疗,120例患者中34例痊愈(28.3%),63例好转(52.5%),23例恶化(19.2%),6例行截肢术,2例行大隐静脉动脉化手术,6例死亡.结论 DF的发生与糖尿病(DM)病程长短有明显关系,DF患者需定期改善足部血液循环,神经营养治疗,必要时清创换药.早期干预和及时正确的治疗是减少糖尿病足发病及减少截肢的关键.

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